Individual
MRS. HOLLY LYNN TUTHILL
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
MS, SLP
Contact information
Practice address
17390 DUGDALE DR, SOUTH BEND, IN 46635-1512
(574) 400-2169
(765) 450-6664
Mailing address
3500 DEPAUW BLVD STE 3070, INDIANAPOLIS, IN 46268-6135
(855) 324-0885
(765) 450-6664
Taxonomy
Speciality
Code
Description
License number
State
235Z00000X
Speech-Language Pathologist
Primary
22006664A
IN
235Z00000X
Speech-Language Pathologist
SZ6344
FL
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
14097246
ASHA CERTIFICATION
—
Enumeration date
09/19/2013
Last updated
12/20/2017
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