Provider Demographics
NPI:1326870940
Name:ZARATE, JULIA ALEJANDRA (MS, CCC-SLP)
Entity type:Individual
Prefix:
First Name:JULIA
Middle Name:ALEJANDRA
Last Name:ZARATE
Suffix:
Gender:F
Credentials:MS, CCC-SLP
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:6609 TIERRA LUNA CT NW
Mailing Address - Street 2:
Mailing Address - City:ALBUQUERQUE
Mailing Address - State:NM
Mailing Address - Zip Code:87120-6010
Mailing Address - Country:US
Mailing Address - Phone:505-289-7488
Mailing Address - Fax:
Practice Address - Street 1:3805 ATRISCO DR NW STE B
Practice Address - Street 2:
Practice Address - City:ALBUQUERQUE
Practice Address - State:NM
Practice Address - Zip Code:87120-4980
Practice Address - Country:US
Practice Address - Phone:505-508-1830
Practice Address - Fax:
Is Sole Proprietor?:No
Enumeration Date:2024-08-14
Last Update Date:2024-08-15
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
NMSAH-2024-0289235Z00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes235Z00000XSpeech, Language and Hearing Service ProvidersSpeech-Language Pathologist