Individual ProviderHolly RossSpeech-Language PathologistSpeech, Language and Hearing Service ProvidersPractice Address8850 Barnes Lake Rd, Irwin, PA 15642-3166(724) 864-7190PECOS EnrollmentBased on the most recent information from CMS, provider Holly Ross 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 9 days ago.Profile DetailsProvider ID1073916698Provider TypeIndividualFull NameRoss, HollyGenderFemaleSole ProprietorYesEnumeration Date9/28/2014Last Updated9/13/2024Contact InformationPractice LocationPractice Address8850 Barnes Lake Rd, Irwin, PA 15642-3166Phone(724) 864-7190FaxUnlisted FaxMailing LocationMailing Address8850 Barnes Lake Rd, Irwin, PA 15642-3166Phone(724) 864-7190FaxUnlisted FaxProvider TaxonomiesCodeDescriptionLicenseCode235Z00000XPrimaryDescriptionSpeech-Language PathologistSpeech, Language and Hearing Service ProvidersLicenseSL011823Pennsylvania