Provider Demographics
NPI:1033624911
Name:TREJO, JULIA (MED CCC-SLP)
Entity Type:Individual
Prefix:
First Name:JULIA
Middle Name:
Last Name:TREJO
Suffix:
Gender:F
Credentials:MED CCC-SLP
Other - Prefix:
Other - First Name:JULIA
Other - Middle Name:MONTOYA
Other - Last Name:SANDOVAL
Other - Suffix:
Other - Last Name Type:Former Name
Other - Credentials:
Mailing Address - Street 1:3166 READSBOROUGH CT
Mailing Address - Street 2:
Mailing Address - City:FAIRFAX
Mailing Address - State:VA
Mailing Address - Zip Code:22031-2618
Mailing Address - Country:US
Mailing Address - Phone:571-335-3513
Mailing Address - Fax:
Practice Address - Street 1:5695 KING CENTRE DR STE 100
Practice Address - Street 2:
Practice Address - City:ALEXANDRIA
Practice Address - State:VA
Practice Address - Zip Code:22315-5745
Practice Address - Country:US
Practice Address - Phone:571-303-1298
Practice Address - Fax:540-720-5660
Is Sole Proprietor?:No
Enumeration Date:2017-12-13
Last Update Date:2023-03-16
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes235Z00000XSpeech, Language and Hearing Service ProvidersSpeech-Language Pathologist