Provider Demographics
NPI:1013226000
Name:STELLMAN, JULIE THILL (CCC, SLP)
Entity Type:Individual
Prefix:MRS
First Name:JULIE
Middle Name:THILL
Last Name:STELLMAN
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 1:6822 SE RAINTREE AVE
Mailing Address - Street 2:
Mailing Address - City:STUART
Mailing Address - State:FL
Mailing Address - Zip Code:34997-2241
Mailing Address - Country:US
Mailing Address - Phone:772-283-9523
Mailing Address - Fax:
Practice Address - Street 1:169 TEQUESTA DR
Practice Address - Street 2:11 E
Practice Address - City:TEQUESTA
Practice Address - State:FL
Practice Address - Zip Code:33469-2768
Practice Address - Country:US
Practice Address - Phone:561-747-8188
Practice Address - Fax:561-747-8388
Is Sole Proprietor?:No
Enumeration Date:2010-09-25
Last Update Date:2010-09-25
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
FLSA 10504235Z00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes235Z00000XSpeech, Language and Hearing Service ProvidersSpeech-Language Pathologist