Individual ProviderHolly ThompsonSpeech-Language PathologistSpeech, Language and Hearing Service ProvidersPractice Address435 Yale Blvd, Null Elementary, Saint Charles, MO 63301-5729(636) 443-4931(636) 233-8484PECOS EnrollmentBased on the most recent information from CMS, provider Holly Thompson 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 12:57 PM.Profile DetailsProvider ID1538533187Provider TypeIndividualFull NameThompson, HollyCredentialMS CCC-SLPGenderFemaleSole ProprietorYesEnumeration Date11/19/2015Last Updated11/19/2015Contact InformationPractice LocationPractice Address435 Yale Blvd, Null Elementary, Saint Charles, MO 63301-5729Phone(636) 443-4931FaxUnlisted FaxMailing LocationMailing Address1401 Indigo Trail Ct, Saint Peters, MO 63376-4416Phone(636) 233-8484FaxUnlisted FaxProvider TaxonomiesCodeDescriptionLicenseCode235Z00000XPrimaryDescriptionSpeech-Language PathologistSpeech, Language and Hearing Service ProvidersLicenseUnlisted Issuer