Provider Demographics
NPI:1386306439
Name:HOLLAND, JANELL
Entity type:Individual
Prefix:
First Name:JANELL
Middle Name:
Last Name:HOLLAND
Suffix:
Gender:F
Credentials:
Other - Prefix:
Other - First Name:JANELL
Other - Middle Name:
Other - Last Name:OLIVO
Other - Suffix:
Other - Last Name Type:Former Name
Other - Credentials:
Mailing Address - Street 1:117 HIGHWAY 267 SPUR
Mailing Address - Street 2:
Mailing Address - City:BEEBE
Mailing Address - State:AR
Mailing Address - Zip Code:72012-9712
Mailing Address - Country:US
Mailing Address - Phone:501-412-5279
Mailing Address - Fax:
Practice Address - Street 1:1201 W CENTER ST
Practice Address - Street 2:
Practice Address - City:BEEBE
Practice Address - State:AR
Practice Address - Zip Code:72012-3103
Practice Address - Country:US
Practice Address - Phone:501-882-5463
Practice Address - Fax:501-882-5465
Is Sole Proprietor?:No
Enumeration Date:2021-10-06
Last Update Date:2021-10-06
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes2355S0801XSpeech, Language and Hearing Service ProvidersSpecialist/TechnologistSpeech-Language Assistant