Provider Demographics
NPI:1225875495
Name:GOBRIAL, JOULI
Entity type:Individual
Prefix:
First Name:JOULI
Middle Name:
Last Name:GOBRIAL
Suffix:
Gender:
Credentials:
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:1612 EBENEZER RD STE 101
Mailing Address - Street 2:
Mailing Address - City:ROCK HILL
Mailing Address - State:SC
Mailing Address - Zip Code:29732-3862
Mailing Address - Country:US
Mailing Address - Phone:803-329-9500
Mailing Address - Fax:803-228-0101
Practice Address - Street 1:9624 BAILEY RD STE 273
Practice Address - Street 2:
Practice Address - City:CORNELIUS
Practice Address - State:NC
Practice Address - Zip Code:28031-6120
Practice Address - Country:US
Practice Address - Phone:803-329-9500
Practice Address - Fax:803-228-0101
Is Sole Proprietor?:No
Enumeration Date:2024-07-13
Last Update Date:2025-04-14
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
SC8904235Z00000X
MASLP77341235Z00000X
NC30002804235Z00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes235Z00000XSpeech, Language and Hearing Service ProvidersSpeech-Language Pathologist