Julia Andersen Bledsoe, M.S. CCC/SLP

Key facts

NPI

1104159912

Entity type

Individual (NPI type 1)

Primary specialty

Speech-Language Pathologist 235Z00000X

License

2899 (AL)

Practice address

245 Cahaba Valley Pkwy Ste 200
Pelham, AL 35124-2217

Phone

(205) 942-6820

Fax

(205) 942-5884

NPI assigned

Sep 10, 2009

Sex

Female

Sole proprietor

No

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 Science

State licenses

Specialties & licenses

Addresses

The complete NPPES record for this NPI in the NPI Registry API JSON format, last updated by the provider on Sep 10, 2009.

{
    "created_epoch": "1252540800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1252540800000",
    "number": "1104159912",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "245 CAHABA VALLEY PKWY STE 200",
            "city": "PELHAM",
            "state": "AL",
            "postal_code": "351242217",
            "telephone_number": "205-942-6820",
            "fax_number": "205-942-5884"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "245 CAHABA VALLEY PKWY STE 200",
            "city": "PELHAM",
            "state": "AL",
            "postal_code": "351242217",
            "telephone_number": "205-942-6820",
            "fax_number": "205-942-5884"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "BLEDSOE",
        "first_name": "JULIA",
        "middle_name": "ANDERSEN",
        "name_prefix": "Miss",
        "credential": "M.S. CCC/SLP",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2009-09-10",
        "last_updated": "2009-09-10",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "235Z00000X",
            "taxonomy_group": "",
            "desc": "Speech-Language Pathologist",
            "state": "AL",
            "license": "2899",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Pelham, AL

• BHC-Cahaba Valley
• Nikki Lacole Bhones
• Big Eye Deals,LLC
• Grey Bittinger, D.C.
• Carlee T Blanchard
• Ina N Bockholt, M.S CCC/SLP
• Stef Bodie
• Brandon Boggan
• Todd Douglas Bolling, M.A., S.L.P., C.C.C.
• Kaitlyn Borst, OTRL, CHT

All providers in Pelham, AL · Speech-Language Pathologist in Alabama