| Elizabeth Ann Holloway, CCC-SLP | |
|
801 W Maple St, Farmington, NM 87401-5630 | |
| (505) 609-2000 | |
| Not Available |
| Full Name | Elizabeth Ann Holloway |
|---|---|
| Gender | Female |
| Speciality | Speech-language Pathologist |
| Location | 801 W Maple St, Farmington, New Mexico |
| Accepts Medicare Assignments | Medicare enrolled and may accept medicare through third-party reassignment. May prescribe medicare part D drugs. |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1861148199 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 235Z00000X | Speech-language Pathologist | 19801 (Florida) | Secondary |
| 235Z00000X | Speech-language Pathologist | SLP7447 (New Mexico) | Primary |
| Provider Name | Isaac Health Florida Professional Association |
|---|---|
| Provider Type | Part B Supplier - Clinic/group Practice |
| Provider Identifiers | NPI Number: 1750012019 PECOS PAC ID: 1850767880 Enrollment ID: O20221017002081 |
| Mailing Address | Practice Location Address |
|---|---|
| Elizabeth Ann Holloway, CCC-SLP 1236 Sleepy Hollow Rd, Venice, FL 34285-6441 Ph: (941) 445-7376 | Elizabeth Ann Holloway, CCC-SLP 801 W Maple St, Farmington, NM 87401-5630 Ph: (505) 609-2000 |
Courtney Garcia, CCC-SLP Speech-Language Pathologist Medicare: Not Enrolled in Medicare Practice Location: 1400a E 20th St, Farmington, NM 87401 Phone: 505-599-8762 Fax: 855-290-2205 | |
Mrs. Emily Ruth Roberts, BS, MS, Speech-Language Pathologist Medicare: Not Enrolled in Medicare Practice Location: 701 Mccormick School Rd, Farmington, NM 87401 Phone: 505-599-8606 | |
Michael L Valentine, M.S., CCC-SLP Speech-Language Pathologist Medicare: Not Enrolled in Medicare Practice Location: 1390 E 20th St, Farmington, NM 87401 Phone: 505-599-8535 Fax: 505-599-8536 | |
Jennifer L Robinson, CCC-SLP Speech-Language Pathologist Medicare: Not Enrolled in Medicare Practice Location: 1390 E 20th St, Farmington, NM 87401 Phone: 505-599-8535 Fax: 505-599-8536 | |
Shanice Brown, Speech-Language Pathologist Medicare: Not Enrolled in Medicare Practice Location: 1701 Cliffside Dr Apt D, Farmington, NM 87401 Phone: 210-528-0127 | |
Mildred S Guemmer, MS-CCC, SLP Speech-Language Pathologist Medicare: Not Enrolled in Medicare Practice Location: 1390 E 20th St, Farmington, NM 87401 Phone: 505-599-8535 Fax: 505-599-8536 | |
Nancy Elizabeth Buyok, M.S. CCC-SLP Speech-Language Pathologist Medicare: Not Enrolled in Medicare Practice Location: 1390 E 20th St, Farmington, NM 87401 Phone: 505-599-8535 Fax: 505-599-8536 |