Provider Demographics
NPI:1528135688
Name:DANDREO, JULIE E (CCC-SLP)
Entity type:Individual
Prefix:MRS
First Name:JULIE
Middle Name:E
Last Name:DANDREO
Suffix:
Gender:F
Credentials:CCC-SLP
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:1004 S OLIVE ST
Mailing Address - Street 2:
Mailing Address - City:OTTAWA
Mailing Address - State:KS
Mailing Address - Zip Code:66067-3241
Mailing Address - Country:US
Mailing Address - Phone:785-242-7109
Mailing Address - Fax:
Practice Address - Street 1:1004 S OLIVE ST
Practice Address - Street 2:
Practice Address - City:OTTAWA
Practice Address - State:KS
Practice Address - Zip Code:66067-3241
Practice Address - Country:US
Practice Address - Phone:785-242-7109
Practice Address - Fax:
Is Sole Proprietor?:Yes
Enumeration Date:2006-11-30
Last Update Date:2011-02-07
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
KS1241235Z00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes235Z00000XSpeech, Language and Hearing Service ProvidersSpeech-Language Pathologist