Provider Demographics
NPI:1154758779
Name:WEBLEY, JULIA A (CCC-SLP)
Entity type:Individual
Prefix:
First Name:JULIA
Middle Name:A
Last Name:WEBLEY
Suffix:
Gender:F
Credentials:CCC-SLP
Other - Prefix:
Other - First Name:JULIA
Other - Middle Name:A
Other - Last Name:MALANGA
Other - Suffix:
Other - Last Name Type:Former Name
Other - Credentials:
Mailing Address - Street 1:5100 SANDERLIN AVE STE 1600
Mailing Address - Street 2:
Mailing Address - City:MEMPHIS
Mailing Address - State:TN
Mailing Address - Zip Code:38117-4320
Mailing Address - Country:US
Mailing Address - Phone:901-677-1090
Mailing Address - Fax:901-677-1091
Practice Address - Street 1:13333 BLANCO RD STE 302
Practice Address - Street 2:#302
Practice Address - City:SAN ANTONIO
Practice Address - State:TX
Practice Address - Zip Code:78216-7756
Practice Address - Country:US
Practice Address - Phone:210-365-4166
Practice Address - Fax:210-492-4588
Is Sole Proprietor?:No
Enumeration Date:2013-09-27
Last Update Date:2024-09-10
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
TN7810235Z00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes235Z00000XSpeech, Language and Hearing Service ProvidersSpeech-Language Pathologist