| Justin Thomas Hoholik, MA, CCC-SLP | |
|
2111 Golfside Rd Ste 3, Ypsilanti, MI 48197-1145 | |
| (248) 846-8700 | |
| Not Available |
| Full Name | Justin Thomas Hoholik |
|---|---|
| Gender | Male |
| Speciality | Speech-language Pathologist |
| Location | 2111 Golfside Rd Ste 3, Ypsilanti, Michigan |
| Accepts Medicare Assignments | Medicare enrolled and may accept medicare through third-party reassignment. May prescribe medicare part D drugs. |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1598227936 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 235Z00000X | Speech-language Pathologist | 7101008498 (Michigan) | Primary |
| Provider Name | Oxford Recovery Center |
|---|---|
| Provider Type | Part B Supplier - Clinic/group Practice |
| Provider Identifiers | NPI Number: 1073780573 PECOS PAC ID: 2466702717 Enrollment ID: O20180906002363 |
| Mailing Address | Practice Location Address |
|---|---|
| Justin Thomas Hoholik, MA, CCC-SLP 2733 E 12th St Ste C2, Brooklyn, NY 11235-4672 Ph: (248) 846-8700 | Justin Thomas Hoholik, MA, CCC-SLP 2111 Golfside Rd Ste 3, Ypsilanti, MI 48197-1145 Ph: (248) 846-8700 |
Summer Seaward, M.S. Speech-Language Pathologist Medicare: Not Enrolled in Medicare Practice Location: 6564 Robin Ct, Ypsilanti, MI 48197 Phone: 734-596-0007 | |
Jennifer Brown, Speech-Language Pathologist Medicare: Not Enrolled in Medicare Practice Location: 3145 W Clark Rd, Ypsilanti, MI 48197 Phone: 734-528-9760 Fax: 734-528-9761 | |
Mary Lee Beauregard, Speech-Language Pathologist Medicare: Not Enrolled in Medicare Practice Location: 5301 E Huron River Dr, Ypsilanti, MI 48197 Phone: 734-712-2409 | |
Lynn Rebekah Maas, CCC-SLP Speech-Language Pathologist Medicare: Not Enrolled in Medicare Practice Location: 1055 Cornell Rd, Ypsilanti, MI 48197 Phone: 734-487-2890 Fax: 734-485-2892 | |
Jordan Gopi Nagaruri, Speech-Language Pathologist Medicare: Not Enrolled in Medicare Practice Location: 850 S Hewitt Rd Ste 100, Ypsilanti, MI 48197 Phone: 734-544-5561 Fax: 734-527-5981 | |
Leah Staley, Speech-Language Pathologist Medicare: Not Enrolled in Medicare Practice Location: 1055 Cornell Rd, Ypsilanti, MI 48197 Phone: 734-487-2890 | |
Mrs. Alyssia Mcdonough-utley, Speech-Language Pathologist Medicare: Not Enrolled in Medicare Practice Location: 1055 Cornell Rd, Ypsilanti, MI 48197 Phone: 734-487-2890 Fax: 734-485-2892 |