Provider Demographics
NPI:1639326572
Name:CASE, JULIE E (MA, MA, CCC-SLP)
Entity Type:Individual
Prefix:MS
First Name:JULIE
Middle Name:E
Last Name:CASE
Suffix:
Gender:F
Credentials:MA, MA, CCC-SLP
Other - Prefix:MS
Other - First Name:JULIE
Other - Middle Name:E
Other - Last Name:CASE TREMAGLIO
Other - Suffix:
Other - Last Name Type:Other Name
Other - Credentials:MA MA CCC-SLP
Mailing Address - Street 1:365 W 20TH ST
Mailing Address - Street 2:APT 7C
Mailing Address - City:NEW YORK
Mailing Address - State:NY
Mailing Address - Zip Code:10011-3354
Mailing Address - Country:US
Mailing Address - Phone:646-733-7213
Mailing Address - Fax:
Practice Address - Street 1:365 W 20TH ST
Practice Address - Street 2:APT 7C
Practice Address - City:NEW YORK
Practice Address - State:NY
Practice Address - Zip Code:10011-3354
Practice Address - Country:US
Practice Address - Phone:646-733-7213
Practice Address - Fax:
Is Sole Proprietor?:Yes
Enumeration Date:2008-08-22
Last Update Date:2013-07-08
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
NY018374235Z00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes235Z00000XSpeech, Language and Hearing Service ProvidersSpeech-Language Pathologist
Provider Identifiers
StateIdentifier IDID TypeIssuer
NY27-3553221OtherTAX IDENTIFICATION NUMBER