Holly K Daniels, CCC-SLP
Individual provider Active NPI Speech-Language Pathologist · Williamsburg, VA
NPI 1972175461 · NPPES record last updated Jul 14, 2021
Key facts
- NPI
- 1972175461
- Entity type
- Individual (NPI type 1)
- Primary specialty
- Speech-Language Pathologist 235Z00000X
- License
- 2202003190 (VA)
- Practice address
- 150 Point O'Woods
Williamsburg, VA 23188-7052 - Phone
- (757) 566-3300
- Fax
- (757) 566-8977
- NPI assigned
- Jul 14, 2021
- Sex
- Female
- Sole proprietor
- No
Organizations & group practices 1
Medicare participation
- Medicare fee-for-service enrollment
- Not listed in the public Medicare enrollment file
National Provider Directory
- Medicare enrollment (NPD)
- No
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 2202003190 | VA | MD | Speech-Language Pathologist |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Child Development Resources | Speech-Language Pathologist | Past |
Accepting new patients |
Specialties & licenses
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Speech-Language Pathologist | 235Z00000X | 2202003190 | VA | Yes |
Addresses
Primary practice location
150 Point O'Woods
Williamsburg, VA 23188-7052
Mailing address
PO Box 280
Norge, VA 23127-0280
Phone (757) 566-3300
Other providers in Williamsburg, VA
- Tina Marie D'Amico
- Marcia L Dadds
- Cathy R. Dahl
- Jennifer E Daly
- Tiffany Patrice Dancy
- James Ray Daniels Jr.
- Christian Darnell
- Jayne E Darnell
- Jolin Daughety
- Marirose David
All providers in Williamsburg, VA · Speech-Language Pathologist in Virginia
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Record last updated by the provider on Jul 14, 2021. Information in NPPES is self-reported and not verified by CMS.
- NUCC Health Care Provider Taxonomy: specialty names.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.