Individual
MRS. HOLLY KRUEGER FOSTER
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
M.S.CCC-SP #411
Contact information
Practice address
2547 WILLOWBROOK CIR, BIRMINGHAM, AL 35242-3441
(205) 587-6847
Mailing address
2547 WILLOWBROOK CIR, BIRMINGHAM, AL 35242-3441
(205) 587-6847
Taxonomy
Speciality
Code
Description
License number
State
235Z00000X
Speech-Language Pathologist
Primary
0411
AL
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
510-34657FOS
BLUE CROSS/BLUE SHIELD OF ALABAMA
AL
Enumeration date
03/16/2010
Last updated
03/16/2010
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