Provider Demographics
NPI:1245976968
Name:CAMERON, HOLLY LOOKABILL (MA CCC-SLP)
Entity type:Individual
Prefix:
First Name:HOLLY
Middle Name:LOOKABILL
Last Name:CAMERON
Suffix:
Gender:F
Credentials:MA CCC-SLP
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:325 PINEHAVEN DR
Mailing Address - Street 2:
Mailing Address - City:LEXINGTON
Mailing Address - State:NC
Mailing Address - Zip Code:27292-8225
Mailing Address - Country:US
Mailing Address - Phone:336-250-3010
Mailing Address - Fax:
Practice Address - Street 1:325 PINEHAVEN DR
Practice Address - Street 2:
Practice Address - City:LEXINGTON
Practice Address - State:NC
Practice Address - Zip Code:27292-8225
Practice Address - Country:US
Practice Address - Phone:336-250-3010
Practice Address - Fax:
Is Sole Proprietor?:Yes
Enumeration Date:2022-05-05
Last Update Date:2022-05-05
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
NC5573235Z00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes235Z00000XSpeech, Language and Hearing Service ProvidersSpeech-Language Pathologist