Provider Demographics
NPI:1336655224
Name:JULIUS, ALISON T (MA, CCC-SLP)
Entity Type:Individual
Prefix:MRS
First Name:ALISON
Middle Name:T
Last Name:JULIUS
Suffix:
Gender:F
Credentials:MA, CCC-SLP
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:1700 DUFFTON LN
Mailing Address - Street 2:
Mailing Address - City:PAINESVILLE
Mailing Address - State:OH
Mailing Address - Zip Code:44077-4705
Mailing Address - Country:US
Mailing Address - Phone:440-413-5062
Mailing Address - Fax:
Practice Address - Street 1:1956 RED BIRD RD
Practice Address - Street 2:
Practice Address - City:MADISON
Practice Address - State:OH
Practice Address - Zip Code:44057-2122
Practice Address - Country:US
Practice Address - Phone:440-428-5111
Practice Address - Fax:
Is Sole Proprietor?:No
Enumeration Date:2017-12-14
Last Update Date:2017-12-14
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
OHSP-5294235Z00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes235Z00000XSpeech, Language and Hearing Service ProvidersSpeech-Language Pathologist