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NPI Code Detail

MEDICARE: MRS. MICHELLE ELLIOTT KOLAR MA, CCC-SLP

MEDICARE: MRS. MICHELLE ELLIOTT KOLAR MA, CCC-SLP
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
1235Z00000XSpeech-Language Pathologist17543TX

General Provider Information

NPI Number : 1205294238
Entity Type Code : Individual
Provider Name (Legal Business Name) : MRS. MICHELLE ELLIOTT KOLAR MA, CCC-SLP
Provider Business Mailing Address
First Line : 5900 EVERS RD
Second Line :
City : SAN ANTONIO
State : TX
Zip : 78238-1699
Country : US
Telephone Number : 210-397-8500
Fax Number :
Provider Business Practice Location Address
First Line : 5900 EVERS RD
Second Line :
City : SAN ANTONIO
State : TX
Zip : 78238-1699
Country : US
Telephone Number : 210-397-8500
Fax Number :
Authorized Official
Title or Position :
Name :
Credential :
Telephone Number :
Provider Enumeration Date : 02/04/2016
Last Update Date : 12/17/2025

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Directions to “ MRS. MICHELLE ELLIOTT KOLAR MA, CCC-SLP” Practice Location

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