Provider Demographics
NPI:1912445180
Name:DAILY, JULIA LAUREN (CCC-SLP)
Entity type:Individual
Prefix:
First Name:JULIA
Middle Name:LAUREN
Last Name:DAILY
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 1:1813 ELDON LN
Mailing Address - Street 2:
Mailing Address - City:SILVER SPRING
Mailing Address - State:MD
Mailing Address - Zip Code:20902-3803
Mailing Address - Country:US
Mailing Address - Phone:240-338-7940
Mailing Address - Fax:
Practice Address - Street 1:1813 ELDON LN
Practice Address - Street 2:
Practice Address - City:SILVER SPRING
Practice Address - State:MD
Practice Address - Zip Code:20902-3803
Practice Address - Country:US
Practice Address - Phone:240-338-7940
Practice Address - Fax:
Is Sole Proprietor?:Yes
Enumeration Date:2017-02-07
Last Update Date:2017-02-07
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
MD07611235Z00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes235Z00000XSpeech, Language and Hearing Service ProvidersSpeech-Language Pathologist