Provider Demographics
NPI:1225269194
Name:JONES, JULIE CARVILLE (MA,CCC-SLP)
Entity Type:Individual
Prefix:
First Name:JULIE
Middle Name:CARVILLE
Last Name:JONES
Suffix:
Gender:F
Credentials:MA,CCC-SLP
Other - Prefix:
Other - First Name:JULIE
Other - Middle Name:CARON
Other - Last Name:CARVILLE
Other - Suffix:
Other - Last Name Type:Former Name
Other - Credentials:MA, CCC-SLP
Mailing Address - Street 1:1222 INGLESIDE DR
Mailing Address - Street 2:
Mailing Address - City:BATON ROUGE
Mailing Address - State:LA
Mailing Address - Zip Code:70806-7038
Mailing Address - Country:US
Mailing Address - Phone:225-381-8343
Mailing Address - Fax:
Practice Address - Street 1:1222 INGLESIDE DR
Practice Address - Street 2:
Practice Address - City:BATON ROUGE
Practice Address - State:LA
Practice Address - Zip Code:70806-7038
Practice Address - Country:US
Practice Address - Phone:225-381-8343
Practice Address - Fax:
Is Sole Proprietor?:Yes
Enumeration Date:2009-07-27
Last Update Date:2009-07-27
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
LA4934235Z00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes235Z00000XSpeech, Language and Hearing Service ProvidersSpeech-Language Pathologist