Provider Demographics
NPI:1184874752
Name:HOLOWKA, REBECCA LYNN (MS, CCC-A)
Entity type:Individual
Prefix:
First Name:REBECCA
Middle Name:LYNN
Last Name:HOLOWKA
Suffix:
Gender:F
Credentials:MS, CCC-A
Other - Prefix:
Other - First Name:REBECCA
Other - Middle Name:LYNN
Other - Last Name:BYERS
Other - Suffix:
Other - Last Name Type:Former Name
Other - Credentials:MS, CCC-A
Mailing Address - Street 1:104 SLEEPY HOLLOW DR
Mailing Address - Street 2:SUITE 202
Mailing Address - City:MIDDLETOWN
Mailing Address - State:DE
Mailing Address - Zip Code:19709-5842
Mailing Address - Country:US
Mailing Address - Phone:302-376-3500
Mailing Address - Fax:
Practice Address - Street 1:104 SLEEPY HOLLOW DR
Practice Address - Street 2:SUITE 202
Practice Address - City:MIDDLETOWN
Practice Address - State:DE
Practice Address - Zip Code:19709-5842
Practice Address - Country:US
Practice Address - Phone:302-376-3500
Practice Address - Fax:302-376-5758
Is Sole Proprietor?:No
Enumeration Date:2008-09-19
Last Update Date:2011-12-21
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
DE02-0000137231H00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes231H00000XSpeech, Language and Hearing Service ProvidersAudiologist