Provider Demographics
NPI:1205368693
Name:BURTON, JULIA (MS CCC/SLP)
Entity Type:Individual
Prefix:
First Name:JULIA
Middle Name:
Last Name:BURTON
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 1:2664 N HIGHWAY 88
Mailing Address - Street 2:
Mailing Address - City:CLAREMORE
Mailing Address - State:OK
Mailing Address - Zip Code:74017-0409
Mailing Address - Country:US
Mailing Address - Phone:918-341-3166
Mailing Address - Fax:918-341-3715
Practice Address - Street 1:2664 N HIGHWAY 88
Practice Address - Street 2:
Practice Address - City:CLAREMORE
Practice Address - State:OK
Practice Address - Zip Code:74017-0409
Practice Address - Country:US
Practice Address - Phone:918-341-3166
Practice Address - Fax:918-341-3715
Is Sole Proprietor?:Yes
Enumeration Date:2017-04-03
Last Update Date:2017-04-03
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
OK577235Z00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes235Z00000XSpeech, Language and Hearing Service ProvidersSpeech-Language Pathologist