Provider Demographics
NPI:1194323543
Name:SOTTILE, HOLLI (MS, CF-SLP)
Entity type:Individual
Prefix:
First Name:HOLLI
Middle Name:
Last Name:SOTTILE
Suffix:
Gender:F
Credentials:MS, CF-SLP
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:7000 LANDMARK DR UNIT 7303
Mailing Address - Street 2:
Mailing Address - City:ALIQUIPPA
Mailing Address - State:PA
Mailing Address - Zip Code:15001-7334
Mailing Address - Country:US
Mailing Address - Phone:724-762-3758
Mailing Address - Fax:
Practice Address - Street 1:100 MAINE BLVD
Practice Address - Street 2:
Practice Address - City:EAST LIVERPOOL
Practice Address - State:OH
Practice Address - Zip Code:43920-1936
Practice Address - Country:US
Practice Address - Phone:330-386-8750
Practice Address - Fax:
Is Sole Proprietor?:Yes
Enumeration Date:2020-10-16
Last Update Date:2020-10-16
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
OHCOND.20201434-SP235Z00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes235Z00000XSpeech, Language and Hearing Service ProvidersSpeech-Language Pathologist