Mrs Amanda Raeann Holbrook, MA, CCC/SLP is a
Speech-language Pathologist based in Mousie, Kentucky. Mrs Amanda Raeann Holbrook is licensed to practice in Kentucky (license number 3571) and her current practice location is
165 Lora Martin Ln, Mousie, Kentucky. She can be reached at her office (for appointments etc.) via phone at
(606) 791-5735.
NPI number for Mrs Amanda Raeann Holbrook is 1518276831 and her current mailing address is 165 Lora Martin Ln, Mousie, Kentucky. She
does not participate in medicare program and thus does not accept medicare assignments. Her NPI Number is 1518276831.
Healthcare Provider's Profile
Full Name | Mrs Amanda Raeann Holbrook |
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Gender | Female |
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Speciality | Speech-language Pathologist |
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Location | 165 Lora Martin Ln, Mousie, Kentucky |
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Accepts Medicare Assignments | Does not participate in Medicare Program. She may not accept medicare assignment. |
NPI Data:
- NPI Number: 1518276831
- Provider Enumeration Date: 10/04/2010
- Last Update Date: 02/12/2019
Medical Identifiers
Medical identifiers for Mrs Amanda Raeann Holbrook such as npi, medicare ID, medicare PIN, medicaid, etc.
Identifier | Type | State | Issuer |
1518276831 | NPI | - | NPPES |
Medical Taxonomies and Licenses
Taxonomy | Type | License (State) | Status |
235Z00000X | Speech-language Pathologist | 3571 (Kentucky) | Primary |
Medicare Part D Prescriber Enrollment
Any physician or other eligible professional who prescribes Part D drugs must either enroll in the Medicare program or opt out in order to prescribe drugs to their patients with Part D prescription drug benefit plans. Mrs Amanda Raeann Holbrook is
NOT enrolled with medicare and thus cannot prescribe medicare part D drugs to patients with medicare part D benefits.
Mailing Address and Practice Location
Mailing Address | Practice Location Address |
Mrs Amanda Raeann Holbrook, MA, CCC/SLP 165 Lora Martin Ln, Mousie, KY 41839-8935 Ph: (606) 791-5735 | Mrs Amanda Raeann Holbrook, MA, CCC/SLP 165 Lora Martin Ln, Mousie, KY 41839-8935 Ph: (606) 791-5735 |
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