Provider Demographics
NPI:1467583013
Name:MURRAY, JULIE WYNN (MS-CCC-SLP)
Entity Type:Individual
Prefix:MRS
First Name:JULIE
Middle Name:WYNN
Last Name:MURRAY
Suffix:
Gender:F
Credentials:MS-CCC-SLP
Other - Prefix:MISS
Other - First Name:JULIE
Other - Middle Name:WYNN
Other - Last Name:MCCAIN
Other - Suffix:
Other - Last Name Type:Former Name
Other - Credentials:
Mailing Address - Street 1:6317 HIGHWAY 329
Mailing Address - Street 2:
Mailing Address - City:CRESTWOOD
Mailing Address - State:KY
Mailing Address - Zip Code:40014-9040
Mailing Address - Country:US
Mailing Address - Phone:502-608-4773
Mailing Address - Fax:502-384-0908
Practice Address - Street 1:6317 HIGHWAY 329
Practice Address - Street 2:
Practice Address - City:CRESTWOOD
Practice Address - State:KY
Practice Address - Zip Code:40014-9040
Practice Address - Country:US
Practice Address - Phone:502-384-0910
Practice Address - Fax:502-384-0910
Is Sole Proprietor?:Yes
Enumeration Date:2007-03-07
Last Update Date:2016-06-20
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
KY141370235Z00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes235Z00000XSpeech, Language and Hearing Service ProvidersSpeech-Language Pathologist