Provider Demographics
NPI:1124275656
Name:KIRKPATRICK, JULIE MARGARET (MA CCC-A)
Entity type:Individual
Prefix:MS
First Name:JULIE
Middle Name:MARGARET
Last Name:KIRKPATRICK
Suffix:
Gender:F
Credentials:MA CCC-A
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:1009 BOYCE MEMORIAL DR
Mailing Address - Street 2:
Mailing Address - City:OTTAWA
Mailing Address - State:IL
Mailing Address - Zip Code:61350-2500
Mailing Address - Country:US
Mailing Address - Phone:815-433-6433
Mailing Address - Fax:
Practice Address - Street 1:1009 BOYCE MEMORIAL DR
Practice Address - Street 2:
Practice Address - City:OTTAWA
Practice Address - State:IL
Practice Address - Zip Code:61350-2500
Practice Address - Country:US
Practice Address - Phone:815-433-6433
Practice Address - Fax:815-433-6164
Is Sole Proprietor?:No
Enumeration Date:2008-08-27
Last Update Date:2008-08-27
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
IL147.000074231H00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes231H00000XSpeech, Language and Hearing Service ProvidersAudiologist