Holly Creek Star Center, Inc.

Primary specialty

Speech-Language PathologistTaxonomy code 235Z00000X

License

SA11907 Issued in FL

Legal business name

HOLLY CREEK STAR CENTER, INC.

Practice address

3680 Dellwood Rd
Loxahatchee, FL 33470-2445

Phone

(561) 899-3448

Fax

(561) 899-3448

NPI assigned

Apr 3, 2014

Organization subpart

No

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

Authorized official

Name

Carole Denise Walker, MS, CCC-SLP

Title

Owner

Phone

(561) 383-1850

Specialties & licenses 1

Addresses

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

{
    "created_epoch": "1396483200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1396483200000",
    "number": "1265850481",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "3680 DELLWOOD RD",
            "city": "LOXAHATCHEE",
            "state": "FL",
            "postal_code": "334702445",
            "telephone_number": "561-899-3448",
            "fax_number": "561-899-3448"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "3680 DELLWOOD RD",
            "city": "LOXAHATCHEE",
            "state": "FL",
            "postal_code": "334702445",
            "telephone_number": "561-899-3448",
            "fax_number": "561-899-3448"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "HOLLY CREEK STAR CENTER, INC.",
        "organizational_subpart": "NO",
        "enumeration_date": "2014-04-03",
        "last_updated": "2014-04-03",
        "status": "A",
        "authorized_official_last_name": "WALKER",
        "authorized_official_first_name": "CAROLE",
        "authorized_official_middle_name": "DENISE",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "561-383-1850",
        "authorized_official_credential": "MS, CCC-SLP"
    },
    "taxonomies": [
        {
            "code": "235Z00000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Speech-Language Pathologist",
            "state": "FL",
            "license": "SA11907",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

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• Speech-Language Pathologist in Loxahatchee, FL
• Providers in Loxahatchee, FL by specialty
• Speech-Language Pathologist in Florida

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Apr 3, 2014; 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.