Provider Demographics
NPI:1811643612
Name:ELOCUTION
Entity type:Organization
Organization Name:ELOCUTION
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:SPEECH LANGUAGE PATHOLOGIST
Authorized Official - Prefix:MS
Authorized Official - First Name:JULIE
Authorized Official - Middle Name:ELIZABETH
Authorized Official - Last Name:RUSSELL
Authorized Official - Suffix:
Authorized Official - Credentials:MS
Authorized Official - Phone:916-715-6780
Mailing Address - Street 1:176 JOHN HENRY CIR
Mailing Address - Street 2:
Mailing Address - City:FOLSOM
Mailing Address - State:CA
Mailing Address - Zip Code:95630-8112
Mailing Address - Country:US
Mailing Address - Phone:916-715-6780
Mailing Address - Fax:916-985-0846
Practice Address - Street 1:176 JOHN HENRY CIR
Practice Address - Street 2:
Practice Address - City:FOLSOM
Practice Address - State:CA
Practice Address - Zip Code:95630-8112
Practice Address - Country:US
Practice Address - Phone:916-715-6780
Practice Address - Fax:916-985-0846
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2022-03-01
Last Update Date:2022-03-01
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes235Z00000XSpeech, Language and Hearing Service ProvidersSpeech-Language PathologistGroup - Multi-Specialty