Provider Demographics
NPI:1477289304
Name:ROCCO, JULIA (MS, CF-SLP, TSSLD)
Entity Type:Individual
Prefix:
First Name:JULIA
Middle Name:
Last Name:ROCCO
Suffix:
Gender:F
Credentials:MS, CF-SLP, TSSLD
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:718 CROSS BAY BLVD
Mailing Address - Street 2:
Mailing Address - City:BROAD CHANNEL
Mailing Address - State:NY
Mailing Address - Zip Code:11693-1122
Mailing Address - Country:US
Mailing Address - Phone:347-764-9516
Mailing Address - Fax:
Practice Address - Street 1:718 CROSS BAY BLVD
Practice Address - Street 2:
Practice Address - City:BROAD CHANNEL
Practice Address - State:NY
Practice Address - Zip Code:11693-1122
Practice Address - Country:US
Practice Address - Phone:347-764-9516
Practice Address - Fax:
Is Sole Proprietor?:No
Enumeration Date:2022-07-25
Last Update Date:2022-07-25
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes235Z00000XSpeech, Language and Hearing Service ProvidersSpeech-Language Pathologist