Provider Demographics
NPI:1093819633
Name:HOLCHAUER, ANNE MARIE (MASTER OF SCIENCE SL)
Entity Type:Individual
Prefix:MS
First Name:ANNE MARIE
Middle Name:
Last Name:HOLCHAUER
Suffix:
Gender:F
Credentials:MASTER OF SCIENCE SL
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:388 SAM SPEAR RD
Mailing Address - Street 2:
Mailing Address - City:WESTPORT
Mailing Address - State:NY
Mailing Address - Zip Code:12993
Mailing Address - Country:US
Mailing Address - Phone:518-962-8746
Mailing Address - Fax:
Practice Address - Street 1:10 ST PATRICKS PLACE
Practice Address - Street 2:
Practice Address - City:PORT HENRY
Practice Address - State:NY
Practice Address - Zip Code:12974
Practice Address - Country:US
Practice Address - Phone:518-546-3801
Practice Address - Fax:518-546-3785
Is Sole Proprietor?:No
Enumeration Date:2006-09-12
Last Update Date:2007-07-08
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
NY0109491235Z00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes235Z00000XSpeech, Language and Hearing Service ProvidersSpeech-Language Pathologist