NPIMap

Karen Elizabeth Julian, M.S., CCC-SLP

Individual provider Active NPI Speech-Language Pathologist · Kimberly, WI

NPI 1982104758 · NPPES record last updated Feb 17, 2018

Key facts

NPI
1982104758
Entity type
Individual (NPI type 1)
Primary specialty
Speech-Language Pathologist 235Z00000X
License
4596-154 (WI)
Practice address
1113 W Kennedy Ave Ste E
Kimberly, WI 54136-2212
Phone
(920) 202-2262
NPI assigned
Feb 17, 2018
Sex
Female
Sole proprietor
Yes

Organizations & group practices 1

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships and National Provider Directory roles.

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

LicenseStateTypeSpecialty
4596-154WIMDSpeech-Language Pathologist

Practice roles

OrganizationSpecialtyStatusNew patients
Building Hope Therapy Services LLC Past Accepting new patients

Specialties & licenses

Specialty (taxonomy)CodeLicenseStatePrimary
Speech-Language Pathologist 235Z00000X 4596-154 WI Yes

Addresses

Primary practice location

1113 W Kennedy Ave Ste E
Kimberly, WI 54136-2212

Mailing address

505 Bosworth LN
Neenah, WI 54956-6602
Phone (224) 430-1509

Other providers in Kimberly, WI

All providers in Kimberly, WI · Speech-Language Pathologist in Wisconsin

Sources for this page

Verify at the official NPI Registry.