Holley, Amanda Caroline

Holley, Amanda Caroline is an individual health care provider with primary practice located at 700 W Forest Ave Ste. 300, Jackson TN 38301-3937. She recently has only one registered license in Speech, Language and Hearing Service Providers / Audiologist, which is considered as her primary health care specialty. Holley, Amanda Caroline can be contacted via phone (731) 422-0340.

Contact Information

Primary practice address
700 W Forest Ave Ste. 300 Jackson TN 38301-3937
Phone: (731) 422-0340
Fax: (731) 422-0319
Website:
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Health care specialties

SpecialtyCodeLicense #State
Speech, Language and Hearing Service Providers / Audiologist 231H00000X 1057A Alabama

Profile Details

NPI number 1033448642
LBN Legal business name Holley, Amanda Caroline
Credentials AU.D.
Entity Individual
Sole proprietor 1 No
Enumeration date Dec 10th, 2009
Last updated Jul 19th, 2012 - about 13 years ago

1 A sole proprietor/sole proprietorship is an individual, and in that capacity, is qualified for a solitary NPI number. The sole proprietor have to apply for the NPI number using his or her own particular Social Security Number (SSN), instead of Employer Identification Number (EIN) regardless of whether he/she has an EIN.

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Identifiers

StateTypeNumberIssuer
All States NPI 1033448642 NPPES
Tennessee MEDICAID 1525271

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