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Contact Information

SAMANTHA HOLLEY, CCC-SLP
CARIWON CHILDRENS PEDIATRIC THERAPY DEPARTMENT
4348 ELECTRIC RD 1ST FLOOR
ROANOKE, VA24018
 Phone: 540-769-0974
 Fax: 540-857-5384
 Website:
 

Specialty

Taxonomy Code Specialty Code Provider Type

Speech-Language Pathologist

235Z00000X 15 Speech Language Pathologist
Indicates primary specialty

NPI Profile & details for SAMANTHA HOLLEY · (Female)

NPI # 1689819583
Status Active
Credentials CCC-SLP (Certificate of Clinical Competance in Speech language pathology)
Entity Individual
Enumeration date 12/05/2008
Last updated 01/23/2025 - More than a year ago
Sole proprietor 1 No
Identifiers
  • VA License # 2202005305
  • VA Medicaid 004979061
Hospital affiliation(s) Not Available
1 A sole proprietor/sole proprietorship is an individual, and as such, is eligible for a single NPI number. The sole proprietor must apply for the NPI number using his or her own Social Security Number (SSN), not an Employer Identification Number (EIN) even if he/she has an EIN.

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