Julee H Hafner, SA

Primary specialty

Speech-Language PathologistTaxonomy code 235Z00000X

License

SA9080 Issued in FL

Practice address

3040 N Wickham Rd Ste 7
Melbourne, FL 32935-2369

Phone

(321) 255-9546

Fax

(321) 255-4690

NPI assigned

Apr 1, 2008

Sex

Female

Sole proprietor

Yes

Registry information is reported by the provider to CMS and is not verified. About this source

Specialties & licenses 1

Addresses

Other identifiers 1

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Enrolled

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1207008000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1600992000000",
    "number": "1003088949",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2772 GALINDO CIR",
            "city": "MELBOURNE",
            "state": "FL",
            "postal_code": "329405910",
            "telephone_number": "321-720-7280",
            "fax_number": "321-306-2848"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "3040 N WICKHAM RD STE 7",
            "city": "MELBOURNE",
            "state": "FL",
            "postal_code": "329352369",
            "telephone_number": "321-255-9546",
            "fax_number": "321-255-4690"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "HAFNER",
        "first_name": "JULEE",
        "middle_name": "H",
        "name_prefix": "Mrs.",
        "credential": "SA",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2008-04-01",
        "last_updated": "2020-09-25",
        "certification_date": "2020-09-25",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "235Z00000X",
            "taxonomy_group": "",
            "desc": "Speech-Language Pathologist",
            "state": "FL",
            "license": "SA9080",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "PROFESSIONAL LICENSE",
            "identifier": "SA9080",
            "state": "FL"
        }
    ],
    "endpoints": [],
    "other_names": []
}

• Quan Haddock, PHARMD
• Ronald Wayne Haddock Jr.
• Hadid Medicine LLC
• Jabr E. Hadid, M.D.
• Rylee Jane Hadley
• Payman Haft, MD
• Rachelle Hagan
• Ann Michele Hagen, NP-C
• Hayley Hagen
• Cassandra A. Hagins

• Speech-Language Pathologist in Melbourne, FL
• Providers in Melbourne, FL by specialty
• Speech-Language Pathologist in Florida

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Sep 25, 2020; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.