Provider Demographics
NPI:1558099622
Name:FLORINDEZ, JULIE LYNN GRANDY (MS CCC-SLP)
Entity Type:Individual
Prefix:
First Name:JULIE
Middle Name:LYNN GRANDY
Last Name:FLORINDEZ
Suffix:
Gender:F
Credentials:MS CCC-SLP
Other - Prefix:
Other - First Name:JULIE
Other - Middle Name:LYNN
Other - Last Name:HANTON
Other - Suffix:
Other - Last Name Type:Former Name
Other - Credentials:MS CCC-SLP
Mailing Address - Street 1:113 GLYNDON DR APT T1
Mailing Address - Street 2:
Mailing Address - City:REISTERSTOWN
Mailing Address - State:MD
Mailing Address - Zip Code:21136-2034
Mailing Address - Country:US
Mailing Address - Phone:432-254-5639
Mailing Address - Fax:
Practice Address - Street 1:5610 CEDAR LN
Practice Address - Street 2:
Practice Address - City:COLUMBIA
Practice Address - State:MD
Practice Address - Zip Code:21044-2798
Practice Address - Country:US
Practice Address - Phone:410-313-6907
Practice Address - Fax:
Is Sole Proprietor?:No
Enumeration Date:2022-08-08
Last Update Date:2023-10-02
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
MD698702235Z00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes235Z00000XSpeech, Language and Hearing Service ProvidersSpeech-Language Pathologist