Individual
MRS. COLLEEN MARIE HOLLE
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
M.S. CCC-SLP
Contact information
Practice address
733 N. MAIN STREET, SUITE G, BELLEVUE, ID 83313
(208) 725-3680
(208) 595-2276
Mailing address
PO BOX 596, GOODING, ID 83330
(208) 725-3680
(208) 595-2276
Taxonomy
Speciality
Code
Description
License number
State
235Z00000X
Speech-Language Pathologist
SLP-2156
ID
235Z00000X
Speech-Language Pathologist
Primary
SLP-5343
ID
Other
Enumeration date
02/22/2012
Last updated
08/26/2022
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