Provider Demographics
NPI:1043592967
Name:TUMBELEKIS, JULIE A (SLP)
Entity Type:Individual
Prefix:MRS
First Name:JULIE
Middle Name:A
Last Name:TUMBELEKIS
Suffix:
Gender:F
Credentials:SLP
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:79 WHITE SPRINGS LN
Mailing Address - Street 2:
Mailing Address - City:GENEVA
Mailing Address - State:NY
Mailing Address - Zip Code:14456-3034
Mailing Address - Country:US
Mailing Address - Phone:585-317-8784
Mailing Address - Fax:
Practice Address - Street 1:400 W NORTH ST
Practice Address - Street 2:
Practice Address - City:GENEVA
Practice Address - State:NY
Practice Address - Zip Code:14456-1314
Practice Address - Country:US
Practice Address - Phone:315-781-0400
Practice Address - Fax:
Is Sole Proprietor?:No
Enumeration Date:2011-09-16
Last Update Date:2011-09-16
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
NY016705235Z00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes235Z00000XSpeech, Language and Hearing Service ProvidersSpeech-Language Pathologist