Individual
AMY J HOLLINGSWORTH
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
SLP
Contact information
Practice address
2200 NW MYHRE RD, SILVERDALE, WA 98383-7681
(360) 830-1100
Mailing address
2512 WHEATON WAY, BREMERTON, WA 98310-3399
Taxonomy
Speciality
Code
Description
License number
State
235Z00000X
Speech-Language Pathologist
Primary
LL00004127
WA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
256440
WA LABOR & INDUSTRIES AND CVCP
WA
Enumeration date
10/27/2009
Last updated
03/03/2010
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