Provider Demographics
NPI:1417078106
Name:HERHOLTZ, ALICE ELAINE (BC-HIS)
Entity Type:Individual
Prefix:MRS
First Name:ALICE
Middle Name:ELAINE
Last Name:HERHOLTZ
Suffix:
Gender:F
Credentials:BC-HIS
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:311 E COUNTY LINE RD
Mailing Address - Street 2:A-9
Mailing Address - City:LITTLETON
Mailing Address - State:CO
Mailing Address - Zip Code:80122-8102
Mailing Address - Country:US
Mailing Address - Phone:303-738-9999
Mailing Address - Fax:303-738-1016
Practice Address - Street 1:311 E COUNTY LINE RD
Practice Address - Street 2:A-9
Practice Address - City:LITTLETON
Practice Address - State:CO
Practice Address - Zip Code:80122-8102
Practice Address - Country:US
Practice Address - Phone:303-738-9999
Practice Address - Fax:303-738-1016
Is Sole Proprietor?:No
Enumeration Date:2007-04-02
Last Update Date:2007-07-08
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
CO031237700000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes237700000XSpeech, Language and Hearing Service ProvidersHearing Instrument Specialist