Provider Demographics
NPI:1356495170
Name:VOOR, JULIE T (MA,CCC-SLP)
Entity Type:Individual
Prefix:MRS
First Name:JULIE
Middle Name:T
Last Name:VOOR
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 1:54530 WHISPERING OAK DR
Mailing Address - Street 2:
Mailing Address - City:MISHAWAKA
Mailing Address - State:IN
Mailing Address - Zip Code:46545-1550
Mailing Address - Country:US
Mailing Address - Phone:574-255-4360
Mailing Address - Fax:574-255-4360
Practice Address - Street 1:54530 WHISPERING OAK DR
Practice Address - Street 2:
Practice Address - City:MISHAWAKA
Practice Address - State:IN
Practice Address - Zip Code:46545-1550
Practice Address - Country:US
Practice Address - Phone:574-255-4360
Practice Address - Fax:574-255-4360
Is Sole Proprietor?:Yes
Enumeration Date:2007-01-22
Last Update Date:2007-07-08
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
IN22002162A235Z00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes235Z00000XSpeech, Language and Hearing Service ProvidersSpeech-Language Pathologist