Provider Demographics
NPI:1699906933
Name:HELTON, JULIE GASKINS (SLP)
Entity type:Individual
Prefix:MRS
First Name:JULIE
Middle Name:GASKINS
Last Name:HELTON
Suffix:
Gender:F
Credentials:SLP
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:4345 40TH ST W
Mailing Address - Street 2:APT. 11
Mailing Address - City:BRADENTON
Mailing Address - State:FL
Mailing Address - Zip Code:34205-2382
Mailing Address - Country:US
Mailing Address - Phone:
Mailing Address - Fax:
Practice Address - Street 1:4345 40TH ST W
Practice Address - Street 2:APT. 11
Practice Address - City:BRADENTON
Practice Address - State:FL
Practice Address - Zip Code:34205-2382
Practice Address - Country:US
Practice Address - Phone:352-461-9116
Practice Address - Fax:
Is Sole Proprietor?:Yes
Enumeration Date:2009-08-04
Last Update Date:2009-08-04
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
FLSZ4772235Z00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes235Z00000XSpeech, Language and Hearing Service ProvidersSpeech-Language Pathologist