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NPI Code Detail

MEDICARE: JOY RUTH HOLLOWS MA, CCC, SLP

MEDICARE:   JOY RUTH HOLLOWS  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 Pathologist41YS00291900NJ

General Provider Information

NPI Number : 1972798593
Entity Type Code : Individual
Provider Name (Legal Business Name) : JOY RUTH HOLLOWS MA, CCC, SLP
Provider Business Mailing Address
First Line : 202 CAMBRIDGE RD
Second Line :
City : CHERRY HILL
State : NJ
Zip : 08034-1817
Country : US
Telephone Number : 856-755-0324
Fax Number :
Provider Business Practice Location Address
First Line : 202 CAMBRIDGE RD
Second Line :
City : CHERRY HILL
State : NJ
Zip : 08034-1817
Country : US
Telephone Number : 856-755-0324
Fax Number :
Authorized Official
Title or Position :
Name :
Credential :
Telephone Number :
Provider Enumeration Date : 09/06/2007
Last Update Date : 09/06/2007

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Directions to “ JOY RUTH HOLLOWS MA, CCC, SLP” Practice Location

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