Provider Demographics
NPI:1598954745
Name:ROSS, JULIE ANN (MM, MT-BC)
Entity Type:Individual
Prefix:
First Name:JULIE
Middle Name:ANN
Last Name:ROSS
Suffix:
Gender:F
Credentials:MM, MT-BC
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:891 CARRIAGE TRL
Mailing Address - Street 2:
Mailing Address - City:ROCKY MOUNT
Mailing Address - State:NC
Mailing Address - Zip Code:27804-8094
Mailing Address - Country:US
Mailing Address - Phone:252-451-1203
Mailing Address - Fax:
Practice Address - Street 1:891 CARRIAGE TRL
Practice Address - Street 2:
Practice Address - City:ROCKY MOUNT
Practice Address - State:NC
Practice Address - Zip Code:27804-8094
Practice Address - Country:US
Practice Address - Phone:252-451-1203
Practice Address - Fax:
Is Sole Proprietor?:Yes
Enumeration Date:2007-10-23
Last Update Date:2007-10-23
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes225A00000XRespiratory, Developmental, Rehabilitative and Restorative Service ProvidersMusic Therapist