Provider Demographics
NPI:1568625283
Name:HOYLE, JULIE R (MS CCC-SLP)
Entity Type:Individual
Prefix:
First Name:JULIE
Middle Name:R
Last Name:HOYLE
Suffix:
Gender:F
Credentials:MS CCC-SLP
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:PO BOX 234
Mailing Address - Street 2:
Mailing Address - City:SAGLE
Mailing Address - State:ID
Mailing Address - Zip Code:83860-0234
Mailing Address - Country:US
Mailing Address - Phone:208-263-0610
Mailing Address - Fax:
Practice Address - Street 1:150 DENALI ROAD
Practice Address - Street 2:
Practice Address - City:SAGLE
Practice Address - State:ID
Practice Address - Zip Code:83860-0234
Practice Address - Country:US
Practice Address - Phone:208-263-0610
Practice Address - Fax:
Is Sole Proprietor?:Yes
Enumeration Date:2008-07-02
Last Update Date:2008-07-02
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
IDSLP1735235Z00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes235Z00000XSpeech, Language and Hearing Service ProvidersSpeech-Language Pathologist