Provider Demographics
NPI:1629422332
Name:MORROW, JULIE A (SLP)
Entity Type:Individual
Prefix:
First Name:JULIE
Middle Name:A
Last Name:MORROW
Suffix:
Gender:F
Credentials:SLP
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:24630 WASHINGTON AVE
Mailing Address - Street 2:SUITE 200
Mailing Address - City:MURRIETA
Mailing Address - State:CA
Mailing Address - Zip Code:92562-6131
Mailing Address - Country:US
Mailing Address - Phone:951-696-9353
Mailing Address - Fax:951-973-7216
Practice Address - Street 1:38605 CALISTOGA DR
Practice Address - Street 2:SUITE 140
Practice Address - City:MURRIETA
Practice Address - State:CA
Practice Address - Zip Code:92563-4820
Practice Address - Country:US
Practice Address - Phone:951-304-0879
Practice Address - Fax:951-304-1459
Is Sole Proprietor?:No
Enumeration Date:2016-04-19
Last Update Date:2016-05-23
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
CA24080235Z00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes235Z00000XSpeech, Language and Hearing Service ProvidersSpeech-Language Pathologist
Provider Identifiers
StateIdentifier IDID TypeIssuer
CACA197225Medicare PIN
CACA197226Medicare PIN