Provider Demographics
NPI:1043375215
Name:OWENS, JULIE G (MA)
Entity Type:Individual
Prefix:MS
First Name:JULIE
Middle Name:G
Last Name:OWENS
Suffix:
Gender:F
Credentials:MA
Other - Prefix:
Other - First Name:
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Other - Last Name:
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Other - Credentials:
Mailing Address - Street 1:1014 SAINT CLAIR BLVD STE 2010
Mailing Address - Street 2:
Mailing Address - City:GONZALES
Mailing Address - State:LA
Mailing Address - Zip Code:70737-5023
Mailing Address - Country:US
Mailing Address - Phone:225-765-5500
Mailing Address - Fax:225-743-2338
Practice Address - Street 1:1014 SAINT CLAIR BLVD STE 2010
Practice Address - Street 2:
Practice Address - City:GONZALES
Practice Address - State:LA
Practice Address - Zip Code:70737
Practice Address - Country:US
Practice Address - Phone:225-765-5500
Practice Address - Fax:225-743-2338
Is Sole Proprietor?:No
Enumeration Date:2006-12-27
Last Update Date:2019-07-23
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
LA3044231H00000X, 237600000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes237600000XSpeech, Language and Hearing Service ProvidersAudiologist-Hearing Aid Fitter
No231H00000XSpeech, Language and Hearing Service ProvidersAudiologist