Provider Demographics
NPI:1508163429
Name:WESTERMANN STANCO, JULIE (MS CCC-SLP)
Entity Type:Individual
Prefix:MRS
First Name:JULIE
Middle Name:
Last Name:WESTERMANN STANCO
Suffix:
Gender:F
Credentials:MS CCC-SLP
Other - Prefix:MS
Other - First Name:JULIE
Other - Middle Name:
Other - Last Name:WESTERMANN
Other - Suffix:
Other - Last Name Type:Former Name
Other - Credentials:M,S, CCC-SLP
Mailing Address - Street 1:6990 SUZANNE LN
Mailing Address - Street 2:
Mailing Address - City:SCHENECTADY
Mailing Address - State:NY
Mailing Address - Zip Code:12303-5281
Mailing Address - Country:US
Mailing Address - Phone:518-527-3321
Mailing Address - Fax:
Practice Address - Street 1:6990 SUZANNE LN
Practice Address - Street 2:
Practice Address - City:SCHENECTADY
Practice Address - State:NY
Practice Address - Zip Code:12303-5281
Practice Address - Country:US
Practice Address - Phone:518-527-3321
Practice Address - Fax:
Is Sole Proprietor?:Yes
Enumeration Date:2011-02-14
Last Update Date:2011-02-14
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
NY011774-1235Z00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes235Z00000XSpeech, Language and Hearing Service ProvidersSpeech-Language Pathologist