Provider Demographics
NPI:1437770740
Name:LOUGHMILLER, JULIA MARIE
Entity Type:Individual
Prefix:
First Name:JULIA
Middle Name:MARIE
Last Name:LOUGHMILLER
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 1:1918 PACIFIC PEARL LN
Mailing Address - Street 2:
Mailing Address - City:WYLIE
Mailing Address - State:TX
Mailing Address - Zip Code:75098-0555
Mailing Address - Country:US
Mailing Address - Phone:214-770-4069
Mailing Address - Fax:
Practice Address - Street 1:1918 PACIFIC PEARL LN
Practice Address - Street 2:
Practice Address - City:WYLIE
Practice Address - State:TX
Practice Address - Zip Code:75098-0555
Practice Address - Country:US
Practice Address - Phone:214-770-4069
Practice Address - Fax:
Is Sole Proprietor?:No
Enumeration Date:2020-04-28
Last Update Date:2020-04-28
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
TX106443235Z00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes235Z00000XSpeech, Language and Hearing Service ProvidersSpeech-Language Pathologist