Provider Demographics
NPI:1194996488
Name:HUBBELL, JULIET B
Entity type:Individual
Prefix:
First Name:JULIET
Middle Name:B
Last Name:HUBBELL
Suffix:
Gender:F
Credentials:
Other - Prefix:
Other - First Name:JULIET
Other - Middle Name:B
Other - Last Name:HUBBELL-WEINHOLD
Other - Suffix:
Other - Last Name Type:Professional Name
Other - Credentials:MA, CCC-SLP
Mailing Address - Street 1:2632 E AMBERWOOD DR
Mailing Address - Street 2:
Mailing Address - City:PHOENIX
Mailing Address - State:AZ
Mailing Address - Zip Code:85048-9314
Mailing Address - Country:US
Mailing Address - Phone:480-759-0030
Mailing Address - Fax:
Practice Address - Street 1:2632 E AMBERWOOD DR
Practice Address - Street 2:
Practice Address - City:PHOENIX
Practice Address - State:AZ
Practice Address - Zip Code:85048-9314
Practice Address - Country:US
Practice Address - Phone:480-759-0030
Practice Address - Fax:
Is Sole Proprietor?:Yes
Enumeration Date:2008-03-14
Last Update Date:2008-03-14
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
AZSLP 4437235Z00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes235Z00000XSpeech, Language and Hearing Service ProvidersSpeech-Language Pathologist