Provider Demographics
NPI:1679694699
Name:HOELZEN, MARCIA W (MS)
Entity Type:Individual
Prefix:
First Name:MARCIA
Middle Name:W
Last Name:HOELZEN
Suffix:
Gender:F
Credentials:MS
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:294 SUDDEN VLY
Mailing Address - Street 2:
Mailing Address - City:BELLINGHAM
Mailing Address - State:WA
Mailing Address - Zip Code:98229-4803
Mailing Address - Country:US
Mailing Address - Phone:360-671-5910
Mailing Address - Fax:
Practice Address - Street 1:1145 MT BAKER HWY
Practice Address - Street 2:
Practice Address - City:BELLINGHAM
Practice Address - State:WA
Practice Address - Zip Code:98226-8769
Practice Address - Country:US
Practice Address - Phone:360-756-1495
Practice Address - Fax:360-756-8868
Is Sole Proprietor?:No
Enumeration Date:2007-04-03
Last Update Date:2007-07-08
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
WALL00002305235Z00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes235Z00000XSpeech, Language and Hearing Service ProvidersSpeech-Language Pathologist