Worzalla, Holly Ann
Worzalla, Holly Ann is an individual health care provider with primary practice located at 3401 Cranberry Blvd , Weston WI 54476-5217. 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. Worzalla, Holly Ann can be contacted via phone (715) 393-2100.Contact Information
Primary practice address
3401 Cranberry Blvd
Weston WI 54476-5217
Phone: (715) 393-2100
Fax:
Website:
Health care specialties
| Specialty | Code | License # | State |
|---|---|---|---|
| Speech, Language and Hearing Service Providers / Speech-Language Pathologist | 235Z00000X | 2493-154 | Wisconsin |
Profile Details
| NPI number | 1467420497 |
|---|---|
| LBN Legal business name | Worzalla, Holly Ann |
| Credentials | MS CCC/SLP |
| Entity | Individual |
| Sole proprietor 1 | No |
| Enumeration date | Mar 8th, 2006 |
| Last updated | Nov 17th, 2022 - about 2 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 | 1467420497 | NPPES |
| Wisconsin | MEDICAID | 42566500 |
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