Provider Demographics
NPI:1184898181
Name:UELHOF, OLIVIA KATE (MS, CCC-SLP)
Entity type:Individual
Prefix:MRS
First Name:OLIVIA
Middle Name:KATE
Last Name:UELHOF
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 1:2603 OSBORNE ST
Mailing Address - Street 2:SUITE 1
Mailing Address - City:BRISTOL
Mailing Address - State:VA
Mailing Address - Zip Code:24201-2326
Mailing Address - Country:US
Mailing Address - Phone:276-669-6331
Mailing Address - Fax:276-669-2950
Practice Address - Street 1:2603 OSBORNE ST
Practice Address - Street 2:SUITE 1
Practice Address - City:BRISTOL
Practice Address - State:VA
Practice Address - Zip Code:24201-2326
Practice Address - Country:US
Practice Address - Phone:276-669-6331
Practice Address - Fax:276-669-2950
Is Sole Proprietor?:No
Enumeration Date:2008-04-22
Last Update Date:2008-10-01
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
VA2202005548235Z00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes235Z00000XSpeech, Language and Hearing Service ProvidersSpeech-Language Pathologist