Julia Louise Birmingham, CCC-SLP

Individual provider Active NPI Speech-Language Pathologist · University Park, PA

NPI 1306204656 · NPPES record last updated Feb 2, 2016

Key facts

NPI
1306204656
Entity type
Individual (NPI type 1)
Primary specialty
Speech-Language Pathologist 235Z00000X
License
SL010483 (PA)
Practice address
308 Ford BLDG
University Park, PA 16802-3003
Phone
(610) 908-9929
NPI assigned
Feb 2, 2016
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
SL010483PAMDSpeech-Language Pathologist

Specialties & licenses

Specialty (taxonomy)CodeLicenseStatePrimary
Speech-Language Pathologist 235Z00000X SL010483 PA Yes

Addresses

Primary practice location

308 Ford BLDG
University Park, PA 16802-3003

Mailing address

308 Ford BLDG
University Park, PA 16802-3003
Phone (610) 908-9929

Other providers in University Park, PA

All providers in University Park, PA · Speech-Language Pathologist in Pennsylvania

Sources for this page

Verify at the official NPI Registry.