Provider Demographics
NPI:1427287051
Name:CARVER, JULIE CAROL (MS, CCC-SLP, BCBA)
Entity type:Individual
Prefix:MS
First Name:JULIE
Middle Name:CAROL
Last Name:CARVER
Suffix:
Gender:F
Credentials:MS, CCC-SLP, BCBA
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:2169 PLEASANT GROVE RD
Mailing Address - Street 2:
Mailing Address - City:WESTMORELAND
Mailing Address - State:TN
Mailing Address - Zip Code:37186-5289
Mailing Address - Country:US
Mailing Address - Phone:615-804-0018
Mailing Address - Fax:615-216-2145
Practice Address - Street 1:2169 PLEASANT GROVE RD
Practice Address - Street 2:
Practice Address - City:WESTMORELAND
Practice Address - State:TN
Practice Address - Zip Code:37186-5289
Practice Address - Country:US
Practice Address - Phone:615-804-0018
Practice Address - Fax:615-216-2145
Is Sole Proprietor?:Yes
Enumeration Date:2009-07-02
Last Update Date:2013-04-11
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
TN1-09-5160103K00000X
TNSP 0000002591235Z00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes235Z00000XSpeech, Language and Hearing Service ProvidersSpeech-Language Pathologist
No103K00000XBehavioral Health & Social Service ProvidersBehavior Analyst