Holly Bodony, CCC-SLP

Primary specialty

Speech-Language PathologistTaxonomy code 235Z00000X

License

SL013143 Issued in PA

Practice address

2509 S 4TH St
Philadelphia, PA 19148-4712

Phone

(781) 454-8458

NPI assigned

Sep 9, 2018

Sex

Female

Sole proprietor

No

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": "1536451200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1536451200000",
    "number": "1821571548",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1727 S 9TH ST APT 2",
            "city": "PHILADELPHIA",
            "state": "PA",
            "postal_code": "191481641",
            "telephone_number": "781-454-8458"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2509 S 4TH ST",
            "city": "PHILADELPHIA",
            "state": "PA",
            "postal_code": "191484712",
            "telephone_number": "781-454-8458"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "BODONY",
        "first_name": "HOLLY",
        "credential": "CCC-SLP",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2018-09-09",
        "last_updated": "2018-09-09",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "235Z00000X",
            "taxonomy_group": "",
            "desc": "Speech-Language Pathologist",
            "state": "PA",
            "license": "SL013143",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Paul Brown Bodhise, DC
• Jessica Elizabeth Bodie, PHD
• Tiana Bodison, CRNP
• Cassandra Lynn Bodnar
• Wendy Bodnaruk, LPC
• Joseph Nicholas Bodor, MD, PHD
• Katherine Courtney Bodycot, MD
• Adam Seth Bodzin, M.D.
• Rosemarie Boehm, M.D.
• Desiree Boehmler-Fink

• Speech-Language Pathologist in Philadelphia, PA
• Providers in Philadelphia, PA by specialty
• Speech-Language Pathologist in Pennsylvania

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Sep 9, 2018; 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.