Provider Demographics
NPI:1457664286
Name:COWDEN, JULIE PILGRIM (MCD CCC-SLP)
Entity Type:Individual
Prefix:
First Name:JULIE
Middle Name:PILGRIM
Last Name:COWDEN
Suffix:
Gender:F
Credentials:MCD CCC-SLP
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:7918 LAKERIDGE DR
Mailing Address - Street 2:
Mailing Address - City:MONTGOMERY
Mailing Address - State:AL
Mailing Address - Zip Code:36117-5137
Mailing Address - Country:US
Mailing Address - Phone:334-277-0674
Mailing Address - Fax:
Practice Address - Street 1:5950 CARMICHAEL PL
Practice Address - Street 2:SUITE 100
Practice Address - City:MONTGOMERY
Practice Address - State:AL
Practice Address - Zip Code:36117-2348
Practice Address - Country:US
Practice Address - Phone:334-262-5744
Practice Address - Fax:
Is Sole Proprietor?:Yes
Enumeration Date:2010-07-21
Last Update Date:2010-07-21
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
AL1563235Z00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes235Z00000XSpeech, Language and Hearing Service ProvidersSpeech-Language Pathologist