Provider Demographics
NPI:1659567683
Name:ZEHRING HOAGLAND, HOLLY GRETCHEN (AUD)
Entity Type:Individual
Prefix:DR
First Name:HOLLY GRETCHEN
Middle Name:
Last Name:ZEHRING HOAGLAND
Suffix:
Gender:F
Credentials:AUD
Other - Prefix:DR
Other - First Name:HOLLY GRETCHEN
Other - Middle Name:
Other - Last Name:ZEHRING
Other - Suffix:
Other - Last Name Type:Former Name
Other - Credentials:AUD
Mailing Address - Street 1:55 BRENDON WAY STE 600
Mailing Address - Street 2:
Mailing Address - City:ZIONSVILLE
Mailing Address - State:IN
Mailing Address - Zip Code:46077-1958
Mailing Address - Country:US
Mailing Address - Phone:317-931-8313
Mailing Address - Fax:317-536-3690
Practice Address - Street 1:55 BRENDON WAY STE 600
Practice Address - Street 2:
Practice Address - City:ZIONSVILLE
Practice Address - State:IN
Practice Address - Zip Code:46077-1958
Practice Address - Country:US
Practice Address - Phone:317-931-8313
Practice Address - Fax:317-536-3690
Is Sole Proprietor?:No
Enumeration Date:2007-09-24
Last Update Date:2023-05-22
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
IN23002362237600000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes237600000XSpeech, Language and Hearing Service ProvidersAudiologist-Hearing Aid Fitter
Provider Identifiers
StateIdentifier IDID TypeIssuer
IN200883220Medicaid
IN000000548659OtherBCBS
IN254110AMedicare PIN