Provider Demographics
NPI:1578784880
Name:PINSON, JULIANNA CLAIRE (MS, CCC-SLP)
Entity Type:Individual
Prefix:MRS
First Name:JULIANNA
Middle Name:CLAIRE
Last Name:PINSON
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 1:2301 RIDDLE RD
Mailing Address - Street 2:
Mailing Address - City:AUSTIN
Mailing Address - State:TX
Mailing Address - Zip Code:78748-1310
Mailing Address - Country:US
Mailing Address - Phone:512-233-4000
Mailing Address - Fax:512-233-4001
Practice Address - Street 1:3109 W SLAUGHTER LN
Practice Address - Street 2:BLDG. B
Practice Address - City:AUSTIN
Practice Address - State:TX
Practice Address - Zip Code:78748-5712
Practice Address - Country:US
Practice Address - Phone:512-233-4000
Practice Address - Fax:512-233-4001
Is Sole Proprietor?:No
Enumeration Date:2007-05-02
Last Update Date:2022-03-04
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
TX101957235Z00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes235Z00000XSpeech, Language and Hearing Service ProvidersSpeech-Language Pathologist
Provider Identifiers
StateIdentifier IDID TypeIssuer
TX165267901Medicaid