Julie Gardner, M.A, SLP, CCC
Individual provider Active NPI Speech-Language Pathologist · Marshfield, MA
NPI 1245975549 · NPPES record last updated May 2, 2022
Key facts
- NPI
- 1245975549
- Entity type
- Individual (NPI type 1)
- Primary specialty
- Speech-Language Pathologist 235Z00000X
- License
- 8405 (MA)
- Practice address
- 436 Moraine St
Marshfield, MA 02050-5720 - Phone
- (781) 690-4643
- NPI assigned
- May 2, 2022
- Sex
- Female
- Sole proprietor
- Yes
Organizations & group practices 1
Medicare Care Compare profile
- Specialty
- Qualified Speech Language Pathologist
- Education
- Other, 2009
- Medicare assignment
- May accept Medicare assignment
Practice addresses (Care Compare)
7600 Chevy Chase Dr
Suite 300
Austin, TX 78752-1503
7600 Chevy Chase Drive BLDG 2
Suite 300
Austin, TX 78752-1503
Medicare participation
- Medicare fee-for-service enrollment
- Enrolled in MA
Medicare enrollment records
| Enrollment ID | State | Provider type | PAC ID | Details |
|---|---|---|---|---|
| I20250911000528 | MA | Practitioner - Qualified Speech Language Pathologist | 7012410574 | Reassigns benefits to 1 organization |
National Provider Directory
- Medicare enrollment (NPD)
- Yes
- Credentials
- Master of Arts
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Expressable Therapy PC | Speech-Language Pathologist | Current |
Accepting new patients |
Locations
300 Baker Ave
Ste 300
Concord, MA 01742
Phone (864) 336-2731
7600 Chevy Chase Dr
Ste 300
Austin, TX 78752
Phone (512) 318-2503
Specialties & licenses
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Speech-Language Pathologist | 235Z00000X | 8405 | MA | Yes |
Addresses
Primary practice location
436 Moraine St
Marshfield, MA 02050-5720
Mailing address
436 Moraine St
Marshfield, MA 02050-5720
Phone (781) 690-4643
Other providers in Marshfield, MA
- Full Spectrum Care, LLC
- Caroline Gabriel
- Cheryle Ann Gallagher
- Ana Gallotto
- Meghan Elyse Galvin
- Camille Gervasi
- James Gifford
- Jacinthe Giroux
- Glenna Waitt OD LLC
- Cara Gomes
All providers in Marshfield, MA · Speech-Language Pathologist in Massachusetts
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Record last updated by the provider on May 2, 2022. Information in NPPES is self-reported and not verified by CMS.
- NUCC Health Care Provider Taxonomy: specialty names.
- Medicare Fee-For-Service Public Provider Enrollment (CMS/PECOS): enrollments, PAC IDs and benefit reassignments.
- Medicare Care Compare provider data (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.