Julia Ann Goth-Avery, MA CCC-SLP
Individual provider Active NPI Speech-Language Pathologist · North Sioux City, SD
NPI 1033720255 · NPPES record last updated Aug 11, 2020
Key facts
- NPI
- 1033720255
- Entity type
- Individual (NPI type 1)
- Primary specialty
- Speech-Language Pathologist 235Z00000X
- License
- 901 (SD)
- Practice address
- 1150 Northshore Dr
North Sioux City, SD 57049-4080 - Phone
- (605) 422-3800
- NPI assigned
- Aug 11, 2020
- Sex
- Female
- Sole proprietor
- No
Organizations & group practices 1
Medicare participation
- Medicare fee-for-service enrollment
- Not listed in the public Medicare enrollment file
National Provider Directory
- Medicare enrollment (NPD)
- No
- Credentials
- Master of Arts
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 901 | SD | MD | Speech-Language Pathologist |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Dakota Valley School District 61-8 | Past |
Accepting new patients |
Specialties & licenses
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Speech-Language Pathologist | 235Z00000X | 901 | SD | Yes |
Addresses
Primary practice location
1150 Northshore Dr
North Sioux City, SD 57049-4080
Mailing address
1150 Northshore Dr
North Sioux City, SD 57049-4080
Phone (605) 422-3800
Electronic endpoints
| Type | Endpoint | Use | Affiliation |
|---|---|---|---|
| CONNECT URL | XML | Other |
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All providers in North Sioux City, SD · Speech-Language Pathologist in South Dakota
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Record last updated by the provider on Aug 11, 2020. Information in NPPES is self-reported and not verified by CMS.
- NUCC Health Care Provider Taxonomy: specialty names.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.