Provider Demographics
NPI:1104500941
Name:UNGER, JULIA ROSE (MA-CF SLP)
Entity type:Individual
Prefix:
First Name:JULIA
Middle Name:ROSE
Last Name:UNGER
Suffix:
Gender:F
Credentials:MA-CF SLP
Other - Prefix:
Other - First Name:JULIA
Other - Middle Name:ROSE
Other - Last Name:DEMOSS
Other - Suffix:
Other - Last Name Type:Former Name
Other - Credentials:MA-CF SLP
Mailing Address - Street 1:5113 PARKWAY CIR W
Mailing Address - Street 2:
Mailing Address - City:FORT COLLINS
Mailing Address - State:CO
Mailing Address - Zip Code:80525-3872
Mailing Address - Country:US
Mailing Address - Phone:970-672-6492
Mailing Address - Fax:
Practice Address - Street 1:1136 E STUART ST
Practice Address - Street 2:
Practice Address - City:FORT COLLINS
Practice Address - State:CO
Practice Address - Zip Code:80525-1195
Practice Address - Country:US
Practice Address - Phone:970-682-3743
Practice Address - Fax:
Is Sole Proprietor?:Yes
Enumeration Date:2023-06-12
Last Update Date:2023-06-12
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
COPSLP.0001007235Z00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes235Z00000XSpeech, Language and Hearing Service ProvidersSpeech-Language Pathologist