Individual ProviderLee Anne HolmbergSpeech-Language PathologistSpeech, Language and Hearing Service ProvidersPractice Address1611 Headway Cir Bldg 2, Austin, TX 78754-5165(512) 478-2581PECOS EnrollmentBased on the most recent information from CMS, provider Lee Anne Holmberg 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 yesterday at 9:43 AM.Profile DetailsProvider ID1457496424Provider TypeIndividualFull NameHolmberg, Lee AnneGenderFemaleSole ProprietorNoEnumeration Date2/20/2007Last Updated5/5/2008Contact InformationPractice LocationPractice Address1611 Headway Cir Bldg 2, Austin, TX 78754-5165Phone(512) 478-2581Fax(512) 476-1638Mailing LocationMailing Address1611 Headway Cir Bldg 2, Austin, TX 78754-5165Phone(512) 478-2581Fax(512) 476-1638Provider TaxonomiesCodeDescriptionLicenseCode235Z00000XPrimaryDescriptionSpeech-Language PathologistSpeech, Language and Hearing Service ProvidersLicense15098TexasProvider IdentifiersIDDescriptionIssuerID021286201DescriptionMedicaidIssuerUnlistedTexasID021286202DescriptionMedicaidIssuerUnlistedTexasID8T0919DescriptionOtherIssuerBLUE CROSSTexas