Provider Demographics
NPI:1407165582
Name:ECKER, HOLLIE LAUREN
Entity Type:Individual
Prefix:MS
First Name:HOLLIE
Middle Name:LAUREN
Last Name:ECKER
Suffix:
Gender:F
Credentials:
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:539 MANHATTAN AVE
Mailing Address - Street 2:APT. B
Mailing Address - City:NEW YORK
Mailing Address - State:NY
Mailing Address - Zip Code:10027-5215
Mailing Address - Country:US
Mailing Address - Phone:845-596-2336
Mailing Address - Fax:845-362-3165
Practice Address - Street 1:65 COURT ST
Practice Address - Street 2:RM 1503
Practice Address - City:BROOKLYN
Practice Address - State:NY
Practice Address - Zip Code:11201-4916
Practice Address - Country:US
Practice Address - Phone:718-935-2161
Practice Address - Fax:
Is Sole Proprietor?:Yes
Enumeration Date:2010-10-06
Last Update Date:2010-10-06
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes235500000XSpeech, Language and Hearing Service ProvidersSpecialist/Technologist