Doctor Name: | MRS. JULIA K HOLZHAUSEN |
NPI Number: | 1871718593 |
Entity Type Code: | Individual (1) |
Gender: | F |
Credentials: | MA-CCC-SLP |
License Number: | 107035 |
Business Practice Address: | 1664 Ivy Chase Lane Fenton, MO - 63026 |
Business Phone Number: | 3149746438 |
Business Fax Number: | 6368610555 |
Mailing Address: | 1664 Ivy Chase Lane, FENTON |
State: | MO |
Postal Code: | 63026 |
Phone Number: | 3149746438 |
Fax Number: | 6368610555 |
NPI Enumeration Date: | 04/16/2007 |
NPI Last Update Date: | 07/08/2007 |
Replacement NPI: | 0 |
NPI Deactivation Date: | |
NPI Reactivation Date: |
Taxonomy Information: | |
Healthcare Provider Taxonomy: | 235Z00000X |
License Number: | 107035 |
Healthcare Provider Taxonomy: (Secondary) | Y |
State: | MO |
Taxonomy Type: | Speech, Language and Hearing Service Providers |
Taxonomy Classification: | Speech-Language Pathologist |
Taxonomy Specialization: | |
Taxonomy Definition: | A speech pathologist is a person qualified by a master |