Provider Demographics
NPI:1255476446
Name:MCGINLEY, JULIE H (MHS, CCC-SLP)
Entity Type:Individual
Prefix:
First Name:JULIE
Middle Name:H
Last Name:MCGINLEY
Suffix:
Gender:F
Credentials:MHS, CCC-SLP
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:1720 PINE ST
Mailing Address - Street 2:
Mailing Address - City:HIGHLAND
Mailing Address - State:IL
Mailing Address - Zip Code:62249-2524
Mailing Address - Country:US
Mailing Address - Phone:314-267-3925
Mailing Address - Fax:619-654-8718
Practice Address - Street 1:1720 PINE ST
Practice Address - Street 2:
Practice Address - City:HIGHLAND
Practice Address - State:IL
Practice Address - Zip Code:62249-2524
Practice Address - Country:US
Practice Address - Phone:314-267-3925
Practice Address - Fax:619-654-8718
Is Sole Proprietor?:Yes
Enumeration Date:2007-02-21
Last Update Date:2007-07-08
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
IL235Z00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes235Z00000XSpeech, Language and Hearing Service ProvidersSpeech-Language Pathologist