Provider Demographics
NPI:1902215502
Name:DUNCAN, HOLLY ANN (AUD)
Entity type:Individual
Prefix:MRS
First Name:HOLLY
Middle Name:ANN
Last Name:DUNCAN
Suffix:
Gender:F
Credentials:AUD
Other - Prefix:MS
Other - First Name:HOLLY
Other - Middle Name:ANN
Other - Last Name:HOFFMAN
Other - Suffix:
Other - Last Name Type:Former Name
Other - Credentials:
Mailing Address - Street 1:6201 GREENLEIGH AVE
Mailing Address - Street 2:
Mailing Address - City:MIDDLE RIVER
Mailing Address - State:MD
Mailing Address - Zip Code:21220-2004
Mailing Address - Country:US
Mailing Address - Phone:410-933-0000
Mailing Address - Fax:
Practice Address - Street 1:11085 LITTLE PATUXENT PKWY STE 101
Practice Address - Street 2:
Practice Address - City:COLUMBIA
Practice Address - State:MD
Practice Address - Zip Code:21044-2914
Practice Address - Country:US
Practice Address - Phone:410-760-8840
Practice Address - Fax:410-367-2464
Is Sole Proprietor?:No
Enumeration Date:2014-08-07
Last Update Date:2024-12-16
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
COAUD.0000717231H00000X, 237600000X
DCAUD200001204231H00000X
MD01495231H00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes231H00000XSpeech, Language and Hearing Service ProvidersAudiologist
No237600000XSpeech, Language and Hearing Service ProvidersAudiologist-Hearing Aid Fitter
Provider Identifiers
StateIdentifier IDID TypeIssuer
CO19879067Medicaid