Julie A Anderson, MA, CCC-SLP
Individual provider Active NPI Speech-Language Pathologist · Greenwood, IN
NPI 1114433372 · NPPES record last updated Dec 22, 2017
Key facts
- NPI
- 1114433372
- Entity type
- Individual (NPI type 1)
- Primary specialty
- Speech-Language Pathologist 235Z00000X
- License
- 22001920A (IN)
- Practice address
- 3000 S State Road 135 Ste 110
Greenwood, IN 46143-9829 - Phone
- (317) 535-4075
- Fax
- (317) 535-4076
- NPI assigned
- Dec 22, 2017
- 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)
- Yes
- Credentials
- Master of Arts
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 22001920A | IN | MD | Speech-Language Pathologist |
Specialties & licenses
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Speech-Language Pathologist | 235Z00000X | 22001920A | IN | Yes |
Addresses
Primary practice location
3000 S State Road 135 Ste 110
Greenwood, IN 46143-9829
Mailing address
2280 Surface Dr
Greenwood, IN 46143-8640
Phone (317) 885-8543
Other providers in Greenwood, IN
- Amp Dental South, LLC
- Mohammad Amro
- Amy Montefalco D.D.S LLC
- Brianne Elizabeth Ancich
- Emily Anderson
- Myra S Anderson
- Peighton Andrew
- Michele Lynn Andries
- Denise Boling Angel
- Angela M. Tomlin, PH.D.
All providers in Greenwood, IN · Speech-Language Pathologist in Indiana
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Record last updated by the provider on Dec 22, 2017. 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.