Provider Demographics
NPI:1366569600
Name:PULEO, HOLLY E (AUD)
Entity type:Individual
Prefix:DR
First Name:HOLLY
Middle Name:E
Last Name:PULEO
Suffix:
Gender:F
Credentials:AUD
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:6 SAMPSON AVE
Mailing Address - Street 2:
Mailing Address - City:N PROVIDENCE
Mailing Address - State:RI
Mailing Address - Zip Code:02911-2607
Mailing Address - Country:US
Mailing Address - Phone:401-231-9767
Mailing Address - Fax:
Practice Address - Street 1:215 TOLL GATE RD
Practice Address - Street 2:SUITE 302
Practice Address - City:WARWICK
Practice Address - State:RI
Practice Address - Zip Code:02886-4458
Practice Address - Country:US
Practice Address - Phone:401-738-9953
Practice Address - Fax:401-738-7555
Is Sole Proprietor?:No
Enumeration Date:2007-03-23
Last Update Date:2017-09-29
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
RIAUD127231H00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes231H00000XSpeech, Language and Hearing Service ProvidersAudiologist
Provider Identifiers
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RI2102OtherNEIGHBORHOOD HEALTH
RIBH00020Medicaid
RI24057-0OtherBLUE CROSS