Provider Demographics
NPI:1336324102
Name:HOLLINGER, JULIE CHRISTINE (CCC-SLP)
Entity Type:Individual
Prefix:MRS
First Name:JULIE
Middle Name:CHRISTINE
Last Name:HOLLINGER
Suffix:
Gender:F
Credentials:CCC-SLP
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:1280 STEPHENRIDGE DR
Mailing Address - Street 2:
Mailing Address - City:SAINT CHARLES
Mailing Address - State:MO
Mailing Address - Zip Code:63304-3406
Mailing Address - Country:US
Mailing Address - Phone:636-447-9777
Mailing Address - Fax:
Practice Address - Street 1:1280 STEPHENRIDGE DR
Practice Address - Street 2:
Practice Address - City:SAINT CHARLES
Practice Address - State:MO
Practice Address - Zip Code:63304-3406
Practice Address - Country:US
Practice Address - Phone:636-447-9777
Practice Address - Fax:
Is Sole Proprietor?:No
Enumeration Date:2007-12-29
Last Update Date:2007-12-29
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
MO12056360235Z00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes235Z00000XSpeech, Language and Hearing Service ProvidersSpeech-Language Pathologist