Provider Demographics
NPI:1699912212
Name:CALEF, JULIE ANN (MS, CCC/SLP)
Entity type:Individual
Prefix:
First Name:JULIE
Middle Name:ANN
Last Name:CALEF
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 1:100 HOYLMAN DRIVE
Mailing Address - Street 2:
Mailing Address - City:GASSAWAY
Mailing Address - State:WV
Mailing Address - Zip Code:26624
Mailing Address - Country:US
Mailing Address - Phone:304-364-1046
Mailing Address - Fax:304-364-1137
Practice Address - Street 1:100 HOYLMAN DR
Practice Address - Street 2:
Practice Address - City:GASSAWAY
Practice Address - State:WV
Practice Address - Zip Code:26624
Practice Address - Country:US
Practice Address - Phone:304-364-1046
Practice Address - Fax:304-364-1137
Is Sole Proprietor?:No
Enumeration Date:2009-01-20
Last Update Date:2010-09-01
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
WVP/SLP-0461235Z00000X
WVSLP-1232235Z00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes235Z00000XSpeech, Language and Hearing Service ProvidersSpeech-Language Pathologist
Provider Identifiers
StateIdentifier IDID TypeIssuer
CA4262621Medicare UPIN