Provider Demographics
NPI:1073950069
Name:AMBROZI, HOLLY K (SLP)
Entity Type:Individual
Prefix:
First Name:HOLLY
Middle Name:K
Last Name:AMBROZI
Suffix:
Gender:F
Credentials:SLP
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:2643 SAPPHIRE ST
Mailing Address - Street 2:
Mailing Address - City:LOVELAND
Mailing Address - State:CO
Mailing Address - Zip Code:80537-2117
Mailing Address - Country:US
Mailing Address - Phone:309-657-0395
Mailing Address - Fax:720-324-4869
Practice Address - Street 1:2643 SAPPHIRE ST
Practice Address - Street 2:
Practice Address - City:LOVELAND
Practice Address - State:CO
Practice Address - Zip Code:80537-2117
Practice Address - Country:US
Practice Address - Phone:720-477-0294
Practice Address - Fax:
Is Sole Proprietor?:Yes
Enumeration Date:2013-05-30
Last Update Date:2022-02-26
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes235Z00000XSpeech, Language and Hearing Service ProvidersSpeech-Language Pathologist