Holly Anne Irvine , MS, CCC-SLP
Speech-Language Pathologist • Lodi, CA
Notice of NPI Deactivation & Inactive Practice Status
According to official public domain records published by CMS (Centers for Medicare & Medicaid Services) in the National Provider Identifier (NPPES) Registry, Holly Irvine has officially deactivated this NPI record and ceased active healthcare practice.
Professional Overview & Biography Verified Profile Summary
Holly Irvine, MS, CCC-SLP was a registered Speech-Language Pathologist practicing in Lodi, CA. Throughout an active medical career spanning 5 years, Holly Irvine provided care at the practice location at 2715 W KETTLEMAN LN until profile deactivation on 2018-06-18.
Practice Location & Contact Primary Location
2715 W Kettleman Ln
Suite 203, #147
Lodi, CA 952429289
Specialty Benchmarks & Practice Insights
Comparative analytics for Speech-Language Pathologist in Lodi, CA
Practicing in Lodi, CA (13280 Statewide)
In-Person Office Visits Only
Under CMS Medicare Fee Schedule vs Standard Submitted Charges
Medical Specialties & State Licenses
NUCC Taxonomy Code: 235Z00000X
The speech-language pathologist is the professional who engages in clinical services, prevention, advocacy, education, administration, and research in the areas of communication and swallowing across the life span from infancy through geriatrics. Speech-language pathologists address typical and atypical impairments and disorders related to communication and swallowing in the areas of speech sound production, resonance, voice, fluency, language (comprehension and expression), cognition, and feeding and swallowing.
Career & Practice History Timeline
Chronological log of verified NPI updates, location relocations, credentials, and registry changes
Record deactivated on June 18, 2018
NPI status registered as active in NPPES database
Registered at 2715 W KETTLEMAN LN, SUITE 203, #147, LODI, CA 952429289 (Tel: 2096100346)
Registered at 2715 W KETTLEMAN LN, SUITE 203, #147, LODI, CA 952429289 (Tel: 2096100346)
Recorded as HOLLY IRVINE, M.S., CCC-SLP
Speech-Language Pathologist (License #10417 in CA)
First registered as active Individual Practitioner in NPPES Database.
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NPI Administrative Meta
Mailing Address
2715 W Kettleman Ln, Suite 203, #147
Lodi, CA 952429289
Phone: 2096100346
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