Julie Keeney, MS, SLP

Individual provider Active NPI Speech-Language Pathologist · Vale, OR

NPI 1982156931 · NPPES record last updated Oct 25, 2016

Key facts

NPI
1982156931
Entity type
Individual (NPI type 1)
Primary specialty
Speech-Language Pathologist 235Z00000X
License
15642 (OR)
Practice address
1060 D St W
Vale, OR 97918-1107
Phone
(541) 473-3131
NPI assigned
Oct 25, 2016
Sex
Female
Sole proprietor
No

Organizations & group practices 2

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
SLP-3054IDMDSpeech-Language Pathologist
15642ORMDSpeech-Language Pathologist

Practice roles

OrganizationSpecialtyStatusNew patients
Pioneer Nursing Home Health District Past Accepting new patients
Malheur Drug, Inc Past Accepting new patients

Specialties & licenses

Specialty (taxonomy)CodeLicenseStatePrimary
Speech-Language Pathologist 235Z00000X 15642 OR Yes
Speech-Language Pathologist 235Z00000X SLP-3054 ID

Addresses

Primary practice location

1060 D St W
Vale, OR 97918-1107

Mailing address

2819 Shamrock Ave
Nampa, ID 83686-8555

Other providers in Vale, OR

All providers in Vale, OR · Speech-Language Pathologist in Oregon

Sources for this page

Verify at the official NPI Registry.