Holly Marie Brosius, M.S.CCC-SLP

Primary specialty

Speech-Language PathologistTaxonomy code 235Z00000X

License

SL-003508-L Issued in PA

Practice address

3059 Sweet Arrow Lake Rd
Pine Grove, PA 17963-7943

Phone

(570) 345-6403

NPI assigned

Jun 24, 2008

Sex

Female

Sole proprietor

Yes

Registry information is reported by the provider to CMS and is not verified. About this source

Specialties & licenses 1

Addresses

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Not enrolled

State licenses

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1214265600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1214265600000",
    "number": "1003077868",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "3059 SWEET ARROW LAKE RD",
            "city": "PINE GROVE",
            "state": "PA",
            "postal_code": "179637943",
            "telephone_number": "570-345-6403"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "3059 SWEET ARROW LAKE RD",
            "city": "PINE GROVE",
            "state": "PA",
            "postal_code": "179637943",
            "telephone_number": "570-345-6403"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "BROSIUS",
        "first_name": "HOLLY",
        "middle_name": "MARIE",
        "name_prefix": "Ms.",
        "credential": "M.S.CCC-SLP",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2008-06-24",
        "last_updated": "2008-06-24",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "235Z00000X",
            "taxonomy_group": "",
            "desc": "Speech-Language Pathologist",
            "state": "PA",
            "license": "SL-003508-L",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Cheryl Ann Blough, PTA
• Kathy Ann Bowers, COTA/A
• Kimberly A Boyer, D.C.
• Kim Bracey, B.S., M.S.
• Michael John Bradley, DO
• Crystal Brown
• Child Connections Developmental Services, LLC
• Melanie Marie Dennis, MSPT
• Terry Donmoyer, TERRY
• Dr. Alethea Wessner LLC

• All providers in Pine Grove, PA
• Speech-Language Pathologist in Pennsylvania

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jun 24, 2008; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.