Provider Demographics
NPI:1003180209
Name:RANEY, JULIE LYNN (MS CCC-A)
Entity Type:Individual
Prefix:MS
First Name:JULIE
Middle Name:LYNN
Last Name:RANEY
Suffix:
Gender:F
Credentials:MS CCC-A
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:8721 WADSWORTH BLVD
Mailing Address - Street 2:SUITE C
Mailing Address - City:ARVADA
Mailing Address - State:CO
Mailing Address - Zip Code:80003-0929
Mailing Address - Country:US
Mailing Address - Phone:303-639-5323
Mailing Address - Fax:303-940-5615
Practice Address - Street 1:8721 WADSWORTH BLVD
Practice Address - Street 2:SUITE C
Practice Address - City:ARVADA
Practice Address - State:CO
Practice Address - Zip Code:80003-0929
Practice Address - Country:US
Practice Address - Phone:303-639-5323
Practice Address - Fax:303-940-5615
Is Sole Proprietor?:No
Enumeration Date:2012-03-06
Last Update Date:2012-08-15
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
CO493231H00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes231H00000XSpeech, Language and Hearing Service ProvidersAudiologist