Provider Demographics
NPI:1154755627
Name:RAMANATHAN, JULIA HEATHER (MA, CCC-SLP)
Entity type:Individual
Prefix:MS
First Name:JULIA
Middle Name:HEATHER
Last Name:RAMANATHAN
Suffix:
Gender:F
Credentials:MA, CCC-SLP
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:701 BUFFINGTON CIR
Mailing Address - Street 2:
Mailing Address - City:CHESTER SPRINGS
Mailing Address - State:PA
Mailing Address - Zip Code:19425-3684
Mailing Address - Country:US
Mailing Address - Phone:484-639-4217
Mailing Address - Fax:
Practice Address - Street 1:701 BUFFINGTON CIR
Practice Address - Street 2:
Practice Address - City:CHESTER SPRINGS
Practice Address - State:PA
Practice Address - Zip Code:19425-3684
Practice Address - Country:US
Practice Address - Phone:484-639-4217
Practice Address - Fax:
Is Sole Proprietor?:Yes
Enumeration Date:2013-09-03
Last Update Date:2013-09-03
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
PASL011160235Z00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes235Z00000XSpeech, Language and Hearing Service ProvidersSpeech-Language Pathologist