Provider Demographics
NPI:1033549332
Name:VADAKKUMPADAN, JULIA (AUD)
Entity Type:Individual
Prefix:
First Name:JULIA
Middle Name:
Last Name:VADAKKUMPADAN
Suffix:
Gender:F
Credentials:AUD
Other - Prefix:
Other - First Name:JULIA
Other - Middle Name:
Other - Last Name:CALLAHAN
Other - Suffix:
Other - Last Name Type:Former Name
Other - Credentials:AUD
Mailing Address - Street 1:3010 ANDERSON DR
Mailing Address - Street 2:
Mailing Address - City:RALEIGH
Mailing Address - State:NC
Mailing Address - Zip Code:27609-7798
Mailing Address - Country:US
Mailing Address - Phone:919-420-2029
Mailing Address - Fax:919-420-2028
Practice Address - Street 1:3010 ANDERSON DR
Practice Address - Street 2:
Practice Address - City:RALEIGH
Practice Address - State:NC
Practice Address - Zip Code:27609-7798
Practice Address - Country:US
Practice Address - Phone:919-420-2029
Practice Address - Fax:919-420-2028
Is Sole Proprietor?:No
Enumeration Date:2013-11-22
Last Update Date:2015-06-30
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
NC11321231H00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes231H00000XSpeech, Language and Hearing Service ProvidersAudiologist