Provider Demographics
NPI:1184195554
Name:YOSHIOKA, JULIE ANNE (CCPS-SLP)
Entity Type:Individual
Prefix:MRS
First Name:JULIE
Middle Name:ANNE
Last Name:YOSHIOKA
Suffix:
Gender:F
Credentials:CCPS-SLP
Other - Prefix:MISS
Other - First Name:JULIE
Other - Middle Name:ANNE
Other - Last Name:YOUNGMAN
Other - Suffix:
Other - Last Name Type:Former Name
Other - Credentials:CCPS-SLP
Mailing Address - Street 1:1413 WASHINGTON RD
Mailing Address - Street 2:
Mailing Address - City:WESTMINSTER
Mailing Address - State:MD
Mailing Address - Zip Code:21157-6940
Mailing Address - Country:US
Mailing Address - Phone:410-751-3610
Mailing Address - Fax:
Practice Address - Street 1:1413 WASHINGTON RD
Practice Address - Street 2:
Practice Address - City:WESTMINSTER
Practice Address - State:MD
Practice Address - Zip Code:21157-6940
Practice Address - Country:US
Practice Address - Phone:410-751-3610
Practice Address - Fax:
Is Sole Proprietor?:No
Enumeration Date:2018-12-11
Last Update Date:2018-12-11
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
MD02529235Z00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes235Z00000XSpeech, Language and Hearing Service ProvidersSpeech-Language Pathologist