Most Relevant Information
Provider Data
| NPI Number: | 1003077868 |
| Provider Name: | HOLLY MARIE BROSIUS M.S.CCC-SLP |
| Entity Type: | Individual |
| Taxonomy Code: | 235Z00000X |
| Specialty: | Speech-Language Pathologist |
| License Number: | SL-003508-L |
Most Important Dates
| Enumeration Date: | 06/24/2008 |
| Last Updated: | 06/24/2008 |
Provider Practice Location
3059 SWEET ARROW LAKE RD
PINE GROVE
PA
179637943
Practice Location Phone/Fax
| Phone: | 5703456403 |
| Fax: |
Provider Mailing Location
3059 SWEET ARROW LAKE RD
PINE GROVE
PA
179637943
Provider Mailing Phone/Fax
| Phone: | 5703456403 |
| Fax: |