Provider Demographics
NPI:1275281412
Name:CAWKELL DOCKING, JULIA MARIE (MS, CCC-SLP)
Entity Type:Individual
Prefix:
First Name:JULIA
Middle Name:MARIE
Last Name:CAWKELL DOCKING
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 1:7001 BROOKVILLE RD
Mailing Address - Street 2:
Mailing Address - City:CHEVY CHASE
Mailing Address - State:MD
Mailing Address - Zip Code:20815-3247
Mailing Address - Country:US
Mailing Address - Phone:301-512-7453
Mailing Address - Fax:
Practice Address - Street 1:7001 BROOKVILLE RD
Practice Address - Street 2:
Practice Address - City:CHEVY CHASE
Practice Address - State:MD
Practice Address - Zip Code:20815-3247
Practice Address - Country:US
Practice Address - Phone:301-512-7453
Practice Address - Fax:
Is Sole Proprietor?:Yes
Enumeration Date:2022-03-16
Last Update Date:2022-03-16
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
DCSLP000860235Z00000X
MD04081235Z00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes235Z00000XSpeech, Language and Hearing Service ProvidersSpeech-Language Pathologist