Provider Demographics
NPI:1053089136
Name:HOELL, ANTHEA MELISSA CASELLA (MS, CCC-SLP)
Entity Type:Individual
Prefix:MRS
First Name:ANTHEA
Middle Name:MELISSA CASELLA
Last Name:HOELL
Suffix:
Gender:F
Credentials:MS, CCC-SLP
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Mailing Address - Street 1:1507 PINE ST
Mailing Address - Street 2:
Mailing Address - City:BASTROP
Mailing Address - State:TX
Mailing Address - Zip Code:78602-3435
Mailing Address - Country:US
Mailing Address - Phone:512-772-7842
Mailing Address - Fax:512-321-2636
Practice Address - Street 1:601 MARTIN LUTHER KING JR DR
Practice Address - Street 2:
Practice Address - City:BASTROP
Practice Address - State:TX
Practice Address - Zip Code:78602-3442
Practice Address - Country:US
Practice Address - Phone:512-772-7620
Practice Address - Fax:512-321-3564
Is Sole Proprietor?:No
Enumeration Date:2021-09-02
Last Update Date:2021-09-02
Deactivation Date:
Deactivation Code:
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Provider Licenses
StateLicense IDTaxonomies
TX111657235Z00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes235Z00000XSpeech, Language and Hearing Service ProvidersSpeech-Language Pathologist