Provider Demographics
NPI:1386786812
Name:JAMES, JULIA MARIE (MS,CCC-SPL)
Entity type:Individual
Prefix:MS
First Name:JULIA
Middle Name:MARIE
Last Name:JAMES
Suffix:
Gender:F
Credentials:MS,CCC-SPL
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:5050 BLAUVELT WAY APT 101
Mailing Address - Street 2:
Mailing Address - City:NAPLES
Mailing Address - State:FL
Mailing Address - Zip Code:34105-4547
Mailing Address - Country:US
Mailing Address - Phone:239-777-2185
Mailing Address - Fax:
Practice Address - Street 1:2960 IMMOKALEE RD STE 3
Practice Address - Street 2:
Practice Address - City:NAPLES
Practice Address - State:FL
Practice Address - Zip Code:34110-1439
Practice Address - Country:US
Practice Address - Phone:239-514-5010
Practice Address - Fax:
Is Sole Proprietor?:No
Enumeration Date:2007-02-12
Last Update Date:2007-07-09
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
FLSA 8602235Z00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes235Z00000XSpeech, Language and Hearing Service ProvidersSpeech-Language Pathologist