Provider Demographics
NPI:1417294752
Name:PIPPINS, HOLLIE MEREDITH (MCD CF-SLP)
Entity Type:Individual
Prefix:MRS
First Name:HOLLIE
Middle Name:MEREDITH
Last Name:PIPPINS
Suffix:
Gender:F
Credentials:MCD CF-SLP
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:1110A STATE HIGHWAY AD
Mailing Address - Street 2:
Mailing Address - City:DEXTER
Mailing Address - State:MO
Mailing Address - Zip Code:63841-8491
Mailing Address - Country:US
Mailing Address - Phone:573-625-0198
Mailing Address - Fax:
Practice Address - Street 1:1110A STATE HIGHWAY AD
Practice Address - Street 2:
Practice Address - City:DEXTER
Practice Address - State:MO
Practice Address - Zip Code:63841-8491
Practice Address - Country:US
Practice Address - Phone:573-625-0198
Practice Address - Fax:
Is Sole Proprietor?:No
Enumeration Date:2013-01-07
Last Update Date:2013-09-13
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
MO2013000010235Z00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes235Z00000XSpeech, Language and Hearing Service ProvidersSpeech-Language Pathologist