Provider Demographics
NPI:1396411351
Name:BEARD, JULIE KIRKLAND (PHD, CCC-SLP)
Entity Type:Individual
Prefix:
First Name:JULIE
Middle Name:KIRKLAND
Last Name:BEARD
Suffix:
Gender:F
Credentials:PHD, CCC-SLP
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:7177 HALCYON SUMMIT DR
Mailing Address - Street 2:
Mailing Address - City:MONTGOMERY
Mailing Address - State:AL
Mailing Address - Zip Code:36117-6971
Mailing Address - Country:US
Mailing Address - Phone:334-244-3408
Mailing Address - Fax:334-244-3906
Practice Address - Street 1:7177 HALCYON SUMMIT DR
Practice Address - Street 2:
Practice Address - City:MONTGOMERY
Practice Address - State:AL
Practice Address - Zip Code:36117-6971
Practice Address - Country:US
Practice Address - Phone:334-244-3408
Practice Address - Fax:334-244-3906
Is Sole Proprietor?:No
Enumeration Date:2021-08-19
Last Update Date:2021-08-19
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
AL4379235Z00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes235Z00000XSpeech, Language and Hearing Service ProvidersSpeech-Language Pathologist