Provider Demographics
NPI:1386820264
Name:BOWLING, HOLLIE GRIFFITH (MA, CCC-SLP)
Entity Type:Individual
Prefix:MRS
First Name:HOLLIE
Middle Name:GRIFFITH
Last Name:BOWLING
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 1:200 SKILES BLVD
Mailing Address - Street 2:2ND FLOOR
Mailing Address - City:WEST CHESTER
Mailing Address - State:PA
Mailing Address - Zip Code:19382-7321
Mailing Address - Country:US
Mailing Address - Phone:800-578-7906
Mailing Address - Fax:866-511-3169
Practice Address - Street 1:301 SPRUCE ST
Practice Address - Street 2:
Practice Address - City:GAFFNEY
Practice Address - State:SC
Practice Address - Zip Code:29340-3252
Practice Address - Country:US
Practice Address - Phone:864-489-2831
Practice Address - Fax:
Is Sole Proprietor?:No
Enumeration Date:2008-01-10
Last Update Date:2015-01-21
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
NC7936235Z00000X
SC5667235Z00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes235Z00000XSpeech, Language and Hearing Service ProvidersSpeech-Language Pathologist