Gunderson, Holly Marie
Gunderson, Holly Marie is an sole proprietor health care provider with primary practice located at 319 E Main St , Felton DE 19943-4500. She recently has only one registered license in Speech, Language and Hearing Service Providers / Speech-Language Pathologist, which is considered as her primary health care specialty. Gunderson, Holly Marie can be contacted via phone (302) 284-9611.Contact Information
Primary practice address
319 E Main St
Felton DE 19943-4500
Phone: (302) 284-9611
Fax: (302) 284-5820
Website:
Health care specialties
| Specialty | Code | License # | State |
|---|---|---|---|
| Speech, Language and Hearing Service Providers / Speech-Language Pathologist | 235Z00000X | O4-0000226 | Delaware |
Profile Details
| NPI number | 1083754766 |
|---|---|
| LBN Legal business name | Gunderson, Holly Marie |
| Credentials | M.S., CCC-SLP |
| Entity | Individual |
| Sole proprietor 1 | Yes |
| Enumeration date | Feb 8th, 2007 |
| Last updated | Dec 9th, 2021 - about 5 years ago |
1 A sole proprietor/sole proprietorship is an individual, and in that capacity, is qualified for a solitary NPI number. The sole proprietor have to apply for the NPI number using his or her own particular Social Security Number (SSN), instead of Employer Identification Number (EIN) regardless of whether he/she has an EIN.
Identifiers
| State | Type | Number | Issuer |
|---|---|---|---|
| All States | NPI | 1083754766 | NPPES |
| Delaware | MEDICAID | 1083754766 |
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