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MR. DONALD GENE HOLLENBECK

>> Specialist/Technologist >> Speech, Language and Hearing Service Providers

Registrant NPI Number: 1548892755

Individual Registrant:
MR. DONALD GENE HOLLENBECK 
Gender: M
Not Sole Proprietor

Location and contact information for practice:
10513 BRADDOCK RD SUITE C/D (UPSTAIRS) FAIRFAX, VA 22032-2276 US
Tel: 703-995-9945  Fax: --

Contact information for business:
12532 MISTY WATER DR  HERNDON, VA 20170-5702 US
Tel: 571-232-0271  Fax: --

Registration Information:
NPI: 1548892755
Entity Type: Individual

Specialty information:

PrimaryCodeCategory/DescriptionStateLicense Number
N235500000XSpeech, Language and Hearing Service Providers
Specialist/Technologist
Y390200000XStudent
Organized Health Care Education/Training Program

Legacy codes, insurance codes and state license numbers:

IssuerNumberStateType
DAY TRAINING, DEVELOPMENTALLY DISABLED SERVICES251C00000XVA01
COGNITIVE TRAINING251C00000X01




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