Provider Demographics
NPI:1992023477
Name:BAUMGARTNER, HOLLY WILLIAMS (MS CCC-SLP)
Entity Type:Individual
Prefix:
First Name:HOLLY
Middle Name:WILLIAMS
Last Name:BAUMGARTNER
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 1:1440 BERNARD WAY
Mailing Address - Street 2:
Mailing Address - City:FRANKLIN
Mailing Address - State:TN
Mailing Address - Zip Code:37067-8684
Mailing Address - Country:US
Mailing Address - Phone:615-429-9779
Mailing Address - Fax:
Practice Address - Street 1:1880 GENERAL GEORGE PATTON DR # B
Practice Address - Street 2:SUITE 202
Practice Address - City:FRANKLIN
Practice Address - State:TN
Practice Address - Zip Code:37067-6409
Practice Address - Country:US
Practice Address - Phone:615-377-1623
Practice Address - Fax:615-377-1625
Is Sole Proprietor?:Yes
Enumeration Date:2010-05-09
Last Update Date:2010-05-09
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
TN0000002673235Z00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes235Z00000XSpeech, Language and Hearing Service ProvidersSpeech-Language Pathologist