Provider Demographics
NPI:1285877951
Name:FREIWALD, JULIANNE (SLPD, CCC-SLP)
Entity type:Individual
Prefix:DR
First Name:JULIANNE
Middle Name:
Last Name:FREIWALD
Suffix:
Gender:F
Credentials:SLPD, CCC-SLP
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:2770 INDIAN RIVER BLVD
Mailing Address - Street 2:SUITE 318
Mailing Address - City:VERO BEACH
Mailing Address - State:FL
Mailing Address - Zip Code:32960-4299
Mailing Address - Country:US
Mailing Address - Phone:305-790-6586
Mailing Address - Fax:
Practice Address - Street 1:2770 INDIAN RIVER BLVD
Practice Address - Street 2:SUITE 318
Practice Address - City:VERO BEACH
Practice Address - State:FL
Practice Address - Zip Code:32960-4299
Practice Address - Country:US
Practice Address - Phone:305-822-4331
Practice Address - Fax:305-822-1349
Is Sole Proprietor?:Yes
Enumeration Date:2009-04-10
Last Update Date:2016-10-04
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
FLSA247235Z00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes235Z00000XSpeech, Language and Hearing Service ProvidersSpeech-Language Pathologist
Provider Identifiers
StateIdentifier IDID TypeIssuer
FL016898800Medicaid