Provider Demographics
NPI:1245558402
Name:HOLLIBAUGH, CATHELYNE ELISABETH (MA, CCC-SLP)
Entity Type:Individual
Prefix:
First Name:CATHELYNE
Middle Name:ELISABETH
Last Name:HOLLIBAUGH
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 1:12155 W 68TH PL
Mailing Address - Street 2:
Mailing Address - City:ARVADA
Mailing Address - State:CO
Mailing Address - Zip Code:80004-2318
Mailing Address - Country:US
Mailing Address - Phone:706-347-0691
Mailing Address - Fax:
Practice Address - Street 1:12155 W 68TH PL
Practice Address - Street 2:
Practice Address - City:ARVADA
Practice Address - State:CO
Practice Address - Zip Code:80004-2318
Practice Address - Country:US
Practice Address - Phone:706-347-0691
Practice Address - Fax:
Is Sole Proprietor?:No
Enumeration Date:2010-05-12
Last Update Date:2018-10-04
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes235Z00000XSpeech, Language and Hearing Service ProvidersSpeech-Language Pathologist