Provider Demographics
NPI:1316722721
Name:DAVIS, JULIANNE MARIE (MS)
Entity type:Individual
Prefix:
First Name:JULIANNE
Middle Name:MARIE
Last Name:DAVIS
Suffix:
Gender:F
Credentials:MS
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:1409 N PIONEER DR
Mailing Address - Street 2:
Mailing Address - City:ABILENE
Mailing Address - State:TX
Mailing Address - Zip Code:79603-4032
Mailing Address - Country:US
Mailing Address - Phone:325-669-9460
Mailing Address - Fax:
Practice Address - Street 1:12330 RESEARCH RD APT 11402
Practice Address - Street 2:
Practice Address - City:FRISCO
Practice Address - State:TX
Practice Address - Zip Code:75033-0337
Practice Address - Country:US
Practice Address - Phone:325-669-9460
Practice Address - Fax:
Is Sole Proprietor?:No
Enumeration Date:2023-08-25
Last Update Date:2024-10-30
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes235Z00000XSpeech, Language and Hearing Service ProvidersSpeech-Language Pathologist