Provider Demographics
NPI:1063029635
Name:DROUIN, JULIA REBECCA (AUD, PHD)
Entity Type:Individual
Prefix:
First Name:JULIA
Middle Name:REBECCA
Last Name:DROUIN
Suffix:
Gender:F
Credentials:AUD, PHD
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:19846 SIDCUP LN
Mailing Address - Street 2:
Mailing Address - City:HUNTINGTON BEACH
Mailing Address - State:CA
Mailing Address - Zip Code:92646-4030
Mailing Address - Country:US
Mailing Address - Phone:203-645-1688
Mailing Address - Fax:
Practice Address - Street 1:520 N BROOKHURST ST STE 107
Practice Address - Street 2:
Practice Address - City:ANAHEIM
Practice Address - State:CA
Practice Address - Zip Code:92801-5207
Practice Address - Country:US
Practice Address - Phone:714-583-9400
Practice Address - Fax:
Is Sole Proprietor?:No
Enumeration Date:2020-09-28
Last Update Date:2020-09-28
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
CA3559231H00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes231H00000XSpeech, Language and Hearing Service ProvidersAudiologist