Provider Demographics
NPI:1992999155
Name:MCAFEE, YULIA S (MS, CCC-SLP)
Entity type:Individual
Prefix:MRS
First Name:YULIA
Middle Name:S
Last Name:MCAFEE
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 1:3966 MARCASEL AVE
Mailing Address - Street 2:
Mailing Address - City:LOS ANGELES
Mailing Address - State:CA
Mailing Address - Zip Code:90066-4616
Mailing Address - Country:US
Mailing Address - Phone:310-397-2372
Mailing Address - Fax:
Practice Address - Street 1:3966 MARCASEL AVE
Practice Address - Street 2:
Practice Address - City:LOS ANGELES
Practice Address - State:CA
Practice Address - Zip Code:90066-4616
Practice Address - Country:US
Practice Address - Phone:310-397-2372
Practice Address - Fax:
Is Sole Proprietor?:Yes
Enumeration Date:2007-08-30
Last Update Date:2007-08-30
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
CASP13181235Z00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes235Z00000XSpeech, Language and Hearing Service ProvidersSpeech-Language Pathologist