Provider Demographics
NPI:1558751214
Name:HOLZER, CIARA GATES (MS CCC-SLP)
Entity Type:Individual
Prefix:
First Name:CIARA
Middle Name:GATES
Last Name:HOLZER
Suffix:
Gender:F
Credentials:MS CCC-SLP
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:164 ARLA DR
Mailing Address - Street 2:
Mailing Address - City:PITTSBURGH
Mailing Address - State:PA
Mailing Address - Zip Code:15220-2631
Mailing Address - Country:US
Mailing Address - Phone:412-200-2546
Mailing Address - Fax:412-200-2359
Practice Address - Street 1:164 ARLA DR
Practice Address - Street 2:
Practice Address - City:PITTSBURGH
Practice Address - State:PA
Practice Address - Zip Code:15220-2631
Practice Address - Country:US
Practice Address - Phone:412-200-2546
Practice Address - Fax:412-200-2359
Is Sole Proprietor?:No
Enumeration Date:2015-02-02
Last Update Date:2018-01-12
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
PASL011075235Z00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes235Z00000XSpeech, Language and Hearing Service ProvidersSpeech-Language Pathologist