Provider Demographics
NPI:1144977018
Name:MORENO, HOLLIE DOLLAR (MCD, CCC-SLP)
Entity type:Individual
Prefix:MRS
First Name:HOLLIE
Middle Name:DOLLAR
Last Name:MORENO
Suffix:
Gender:F
Credentials:MCD, CCC-SLP
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:1812 TREEHOUSE LN
Mailing Address - Street 2:NONE
Mailing Address - City:PLANO
Mailing Address - State:TX
Mailing Address - Zip Code:75023
Mailing Address - Country:US
Mailing Address - Phone:214-478-6308
Mailing Address - Fax:
Practice Address - Street 1:3400 E PARKER RD
Practice Address - Street 2:
Practice Address - City:PLANO
Practice Address - State:TX
Practice Address - Zip Code:75074-7708
Practice Address - Country:US
Practice Address - Phone:469-752-4981
Practice Address - Fax:
Is Sole Proprietor?:No
Enumeration Date:2022-03-09
Last Update Date:2022-03-09
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
TX19751235Z00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes235Z00000XSpeech, Language and Hearing Service ProvidersSpeech-Language Pathologist