Provider Demographics
NPI:1417294794
Name:LAHUE, JULIA HALLETT MAURY (MS CCC-SLP)
Entity Type:Individual
Prefix:MRS
First Name:JULIA
Middle Name:HALLETT MAURY
Last Name:LAHUE
Suffix:
Gender:F
Credentials:MS CCC-SLP
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
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Other - Credentials:
Mailing Address - Street 1:1200 AIRPORT HEIGHTS DR STE 170
Mailing Address - Street 2:
Mailing Address - City:ANCHORAGE
Mailing Address - State:AK
Mailing Address - Zip Code:99508-2986
Mailing Address - Country:US
Mailing Address - Phone:907-562-2118
Mailing Address - Fax:907-562-2128
Practice Address - Street 1:1200 AIRPORT HEIGHTS DR STE 170
Practice Address - Street 2:
Practice Address - City:ANCHORAGE
Practice Address - State:AK
Practice Address - Zip Code:99508-2986
Practice Address - Country:US
Practice Address - Phone:907-562-2118
Practice Address - Fax:907-562-2128
Is Sole Proprietor?:Yes
Enumeration Date:2013-01-07
Last Update Date:2023-01-17
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
OHSP.10487235Z00000X
TX108097235Z00000X
AK151072235Z00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes235Z00000XSpeech, Language and Hearing Service ProvidersSpeech-Language Pathologist