Provider Demographics
NPI:1942443247
Name:KLUGER, HOLLY BETH (MA-SLP)
Entity Type:Individual
Prefix:MRS
First Name:HOLLY
Middle Name:BETH
Last Name:KLUGER
Suffix:
Gender:F
Credentials:MA-SLP
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:107 FOREST POINT LN
Mailing Address - Street 2:
Mailing Address - City:LONGWOOD
Mailing Address - State:FL
Mailing Address - Zip Code:32779-3710
Mailing Address - Country:US
Mailing Address - Phone:407-682-6171
Mailing Address - Fax:
Practice Address - Street 1:155 LANDOVER PL
Practice Address - Street 2:
Practice Address - City:LONGWOOD
Practice Address - State:FL
Practice Address - Zip Code:32750-4924
Practice Address - Country:US
Practice Address - Phone:407-937-1728
Practice Address - Fax:
Is Sole Proprietor?:Yes
Enumeration Date:2009-04-16
Last Update Date:2009-04-16
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
FL00003165235Z00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes235Z00000XSpeech, Language and Hearing Service ProvidersSpeech-Language Pathologist