Provider Demographics
NPI:1124452149
Name:BOLLINGER, CATHY HAMER (MA,MT-BC)
Entity type:Individual
Prefix:
First Name:CATHY
Middle Name:HAMER
Last Name:BOLLINGER
Suffix:
Gender:F
Credentials:MA,MT-BC
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:336 KEY WEST DR
Mailing Address - Street 2:
Mailing Address - City:CHARLOTTESVILLE
Mailing Address - State:VA
Mailing Address - Zip Code:22911-8426
Mailing Address - Country:US
Mailing Address - Phone:434-293-7531
Mailing Address - Fax:434-297-1614
Practice Address - Street 1:336 KEY WEST DR
Practice Address - Street 2:
Practice Address - City:CHARLOTTESVILLE
Practice Address - State:VA
Practice Address - Zip Code:22911-8426
Practice Address - Country:US
Practice Address - Phone:434-293-7531
Practice Address - Fax:434-297-1614
Is Sole Proprietor?:Yes
Enumeration Date:2013-08-27
Last Update Date:2013-08-27
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
VAT23884605225A00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes225A00000XRespiratory, Developmental, Rehabilitative and Restorative Service ProvidersMusic Therapist