Provider Demographics
NPI:1114385689
Name:URBAN, JULIE SGARLAT (MS CCC-SLP)
Entity Type:Individual
Prefix:
First Name:JULIE
Middle Name:SGARLAT
Last Name:URBAN
Suffix:
Gender:F
Credentials:MS CCC-SLP
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:16090 ALPINE WAY
Mailing Address - Street 2:
Mailing Address - City:EDEN PRAIRIE
Mailing Address - State:MN
Mailing Address - Zip Code:55346-3748
Mailing Address - Country:US
Mailing Address - Phone:785-766-4801
Mailing Address - Fax:
Practice Address - Street 1:16090 ALPINE WAY
Practice Address - Street 2:
Practice Address - City:EDEN PRAIRIE
Practice Address - State:MN
Practice Address - Zip Code:55346-3748
Practice Address - Country:US
Practice Address - Phone:612-861-1688
Practice Address - Fax:
Is Sole Proprietor?:No
Enumeration Date:2016-01-29
Last Update Date:2022-02-04
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
KS2355235Z00000X
235Z00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes235Z00000XSpeech, Language and Hearing Service ProvidersSpeech-Language Pathologist