Mrs Colleen Marie Holle, MS CCC-SLP is a
Speech-language Pathologist based in Bellevue, Idaho. Mrs Colleen Marie Holle is licensed to practice in Idaho (license number SLP-5343) and her current practice location is
733 N. Main Street, Suite G, Bellevue, Idaho. She can be reached at her office (for appointments etc.) via phone at
(208) 725-3680.
NPI number for Mrs Colleen Marie Holle is 1225301195 and her current mailing address is Po Box 596, Gooding, Idaho. She
does not participate in medicare program and thus does not accept medicare assignments. Her NPI Number is 1225301195.
Healthcare Provider's Profile
| Full Name | Mrs Colleen Marie Holle |
|---|
| Gender | Female |
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| Speciality | Speech-language Pathologist |
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| Location | 733 N. Main Street, Bellevue, Idaho |
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| Accepts Medicare Assignments | Does not participate in Medicare Program. She may not accept medicare assignment. |
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NPI Data:
- NPI Number: 1225301195
- Provider Enumeration Date: 02/22/2012
- Last Update Date: 08/26/2022
Medical Identifiers
Medical identifiers for Mrs Colleen Marie Holle such as npi, medicare ID, medicare PIN, medicaid, etc.
| Identifier | Type | State | Issuer |
|---|
| 1225301195 | NPI | - | NPPES |
Medical Taxonomies and Licenses
| Taxonomy | Type | License (State) | Status |
|---|
| 235Z00000X | Speech-language Pathologist | SLP-2156 (Idaho) | Secondary |
| 235Z00000X | Speech-language Pathologist | SLP-5343 (Idaho) | Primary |
Medicare Part D Prescriber Enrollment
Any physician or other eligible professional who prescribes Part D drugs must either enroll in the Medicare program or opt out in order to prescribe drugs to their patients with Part D prescription drug benefit plans. Mrs Colleen Marie Holle is
NOT enrolled with medicare and thus cannot prescribe medicare part D drugs to patients with medicare part D benefits.
Mailing Address and Practice Location
| Mailing Address | Practice Location Address |
|---|
Mrs Colleen Marie Holle, MS CCC-SLP
Po Box 596,
Gooding, ID 83330
Ph: (208) 725-3680 | Mrs Colleen Marie Holle, MS CCC-SLP
733 N. Main Street, Suite G,
Bellevue, ID 83313
Ph: (208) 725-3680 |
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