Individual ProviderKristin HolzhauerSpeech-Language PathologistSpeech, Language and Hearing Service ProvidersPractice Address176 Paulding Ave, Staten Island, NY 10314-3267(917) 282-9952PECOS EnrollmentBased on the most recent information from CMS, provider Kristin Holzhauer does not have current enrollment records in PECOS.Part BMedicare Part BNot EnrolledHHAHome Health AgencyNot EnrolledDMEDurable Medical EquipmentNot EnrolledPMDPower Mobility DeviceNot EnrolledCMS last updated its PECOS records 2 days ago.Profile DetailsProvider ID1013450261Provider TypeIndividualFull NameHolzhauer, KristinCredentialCCC-SLP, M.A.GenderFemaleSole ProprietorNoEnumeration Date11/21/2016Last Updated11/21/2016Contact InformationPractice LocationPractice Address176 Paulding Ave, Staten Island, NY 10314-3267Phone(917) 282-9952FaxUnlisted FaxMailing LocationMailing Address176 Paulding Ave, Staten Island, NY 10314-3267Phone(917) 282-9952FaxUnlisted FaxProvider TaxonomiesCodeDescriptionLicenseCode235Z00000XPrimaryDescriptionSpeech-Language PathologistSpeech, Language and Hearing Service ProvidersLicense025116-1New York