Provider Demographics
NPI:1275303141
Name:YURIK, JULIANNE MARIE
Entity Type:Individual
Prefix:
First Name:JULIANNE
Middle Name:MARIE
Last Name:YURIK
Suffix:
Gender:F
Credentials:
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:868 THEORA DR
Mailing Address - Street 2:
Mailing Address - City:BRUNSWICK
Mailing Address - State:OH
Mailing Address - Zip Code:44212-5649
Mailing Address - Country:US
Mailing Address - Phone:216-577-7458
Mailing Address - Fax:
Practice Address - Street 1:28550 WESTLAKE VILLAGE DR
Practice Address - Street 2:
Practice Address - City:WESTLAKE
Practice Address - State:OH
Practice Address - Zip Code:44145-7608
Practice Address - Country:US
Practice Address - Phone:440-772-2057
Practice Address - Fax:
Is Sole Proprietor?:No
Enumeration Date:2024-01-03
Last Update Date:2024-01-03
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
OHCOND.20232614-SP235Z00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes235Z00000XSpeech, Language and Hearing Service ProvidersSpeech-Language Pathologist