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Holly Marie Niles

Speech-Language Pathologist, in Clarksville, TN. Individual provider (NPI-1).

NPI number1023364460
StatusActive
Last updated in NPPESAug 2, 2012

Details

NPI
1023364460
Entity type
Individual (NPI-1)
Name
Holly Marie Niles
Sex
Female
Sole proprietor
No
Enumeration date
Aug 2, 2012
Last updated
Aug 2, 2012

Taxonomy and licenses

Taxonomy codeDescriptionLicenseStatePrimary
235Z00000X Speech-Language Pathologist,4797TNYes

Practice location

161 Hatcher Ln
Clarksville, TN 37043-5987

Phone 931-542-2168 · Fax 931-542-2206

Mailing address

161 Hatcher Ln
Clarksville, TN 37043-5987

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