Julie Bauer

Individual provider Active NPI Speech-Language Pathologist · Louisville, KY

NPI 1275759698 · NPPES record last updated Jul 8, 2007

Key facts

NPI
1275759698
Entity type
Individual (NPI type 1)
Primary specialty
Speech-Language Pathologist 235Z00000X
License
KY-2666 (KY)
Practice address
4106 Dellridge Dr
Louisville, KY 40207-2713
Phone
(502) 893-9121
Fax
(502) 742-9330
NPI assigned
Apr 17, 2007
Sex
Female
Sole proprietor
Yes

Medicare participation

Medicare fee-for-service enrollment
Not listed in the public Medicare enrollment file

National Provider Directory

Medicare enrollment (NPD)
No

State licenses

LicenseStateTypeSpecialty
KY-2666KYMDSpeech-Language Pathologist

Specialties & licenses

Specialty (taxonomy)CodeLicenseStatePrimary
Speech-Language Pathologist 235Z00000X KY-2666 KY Yes

Addresses

Primary practice location

4106 Dellridge Dr
Louisville, KY 40207-2713

Mailing address

4023 Bolling Brook Dr
Louisville, KY 40299-5491

Other providers in Louisville, KY

All providers in Louisville, KY · Speech-Language Pathologist in Kentucky

Sources for this page

Verify at the official NPI Registry.