Provider Demographics
NPI:1497926455
Name:JURGENS, JULIA MARIE (MS)
Entity Type:Individual
Prefix:
First Name:JULIA
Middle Name:MARIE
Last Name:JURGENS
Suffix:
Gender:F
Credentials:MS
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:1402 WATERLOO TRL
Mailing Address - Street 2:UNIT A
Mailing Address - City:AUSTIN
Mailing Address - State:TX
Mailing Address - Zip Code:78704-4865
Mailing Address - Country:US
Mailing Address - Phone:512-663-1599
Mailing Address - Fax:
Practice Address - Street 1:15901 CENTRAL COMMERCE DR
Practice Address - Street 2:SUITE 301
Practice Address - City:PFLUGERVILLE
Practice Address - State:TX
Practice Address - Zip Code:78660-2041
Practice Address - Country:US
Practice Address - Phone:512-251-7775
Practice Address - Fax:
Is Sole Proprietor?:Yes
Enumeration Date:2008-03-18
Last Update Date:2008-03-18
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
TX103324235Z00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes235Z00000XSpeech, Language and Hearing Service ProvidersSpeech-Language Pathologist