Provider Demographics
NPI:1073728614
Name:BAUX, JULIA M (MA, CCC-SLP)
Entity Type:Individual
Prefix:
First Name:JULIA
Middle Name:M
Last Name:BAUX
Suffix:
Gender:F
Credentials:MA, CCC-SLP
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:1082 GREENLAND FOREST DR
Mailing Address - Street 2:
Mailing Address - City:MONUMENT
Mailing Address - State:CO
Mailing Address - Zip Code:80132-9344
Mailing Address - Country:US
Mailing Address - Phone:360-473-7877
Mailing Address - Fax:
Practice Address - Street 1:1082 GREENLAND FOREST DR
Practice Address - Street 2:
Practice Address - City:MONUMENT
Practice Address - State:CO
Practice Address - Zip Code:80132-9344
Practice Address - Country:US
Practice Address - Phone:360-473-7877
Practice Address - Fax:
Is Sole Proprietor?:Yes
Enumeration Date:2007-05-14
Last Update Date:2012-06-12
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
TX103282235Z00000X
CO12041536235Z00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes235Z00000XSpeech, Language and Hearing Service ProvidersSpeech-Language Pathologist
Provider Identifiers
StateIdentifier IDID TypeIssuer
CO12041536OtherASHA