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NPI Code Detail

MEDICARE: REBECCA LYNN HOLOWKA M.S., CCC-A

MEDICARE: REBECCA LYNN HOLOWKA M.S., CCC-A
Medicare Provider Information

Scope of Practice

The following information about the specialty of the provider is available:

# Taxonomy Code Taxonomy License Number License Number State
1231H00000XAudiologist02-0000137DE

General Provider Information

NPI Number : 1184874752
Entity Type Code : Individual
Provider Name (Legal Business Name) : REBECCA LYNN HOLOWKA M.S., CCC-A
Provider Business Mailing Address
First Line : 104 SLEEPY HOLLOW DR
Second Line : SUITE 202
City : MIDDLETOWN
State : DE
Zip : 19709-5842
Country : US
Telephone Number : 302-376-3500
Fax Number :
Provider Business Practice Location Address
First Line : 104 SLEEPY HOLLOW DR
Second Line : SUITE 202
City : MIDDLETOWN
State : DE
Zip : 19709-5842
Country : US
Telephone Number : 302-376-3500
Fax Number : 302-376-5758
Authorized Official
Title or Position :
Name :
Credential :
Telephone Number :
Provider Enumeration Date : 09/19/2008
Last Update Date : 12/21/2011

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