Provider Demographics
NPI:1033530233
Name:YODER, JULIEANNE (MA, CCC-SLP)
Entity Type:Individual
Prefix:MS
First Name:JULIEANNE
Middle Name:
Last Name:YODER
Suffix:
Gender:F
Credentials:MA, CCC-SLP
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:3415 REDBUD LN
Mailing Address - Street 2:
Mailing Address - City:ROCKINGHAM
Mailing Address - State:VA
Mailing Address - Zip Code:22801-5312
Mailing Address - Country:US
Mailing Address - Phone:540-209-0400
Mailing Address - Fax:
Practice Address - Street 1:3415 REDBUD LN
Practice Address - Street 2:
Practice Address - City:HARRISONBURG
Practice Address - State:VA
Practice Address - Zip Code:22801-5312
Practice Address - Country:US
Practice Address - Phone:540-434-4404
Practice Address - Fax:
Is Sole Proprietor?:Yes
Enumeration Date:2013-12-16
Last Update Date:2018-01-04
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
VA2202004909235Z00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes235Z00000XSpeech, Language and Hearing Service ProvidersSpeech-Language Pathologist