Provider Demographics
NPI:1659405587
Name:ROWLETT, JULIE JACOBS (MS CCC-SLP)
Entity Type:Individual
Prefix:MRS
First Name:JULIE
Middle Name:JACOBS
Last Name:ROWLETT
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 1:11825 SHEPARDS XING
Mailing Address - Street 2:
Mailing Address - City:CLARKSVILLE
Mailing Address - State:MD
Mailing Address - Zip Code:21029-1139
Mailing Address - Country:US
Mailing Address - Phone:917-575-3171
Mailing Address - Fax:
Practice Address - Street 1:11825 SHEPARDS XING
Practice Address - Street 2:
Practice Address - City:CLARKSVILLE
Practice Address - State:MD
Practice Address - Zip Code:21029-1139
Practice Address - Country:US
Practice Address - Phone:917-575-3171
Practice Address - Fax:
Is Sole Proprietor?:No
Enumeration Date:2007-03-15
Last Update Date:2022-07-21
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
235Z00000X
MD05862235Z00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes235Z00000XSpeech, Language and Hearing Service ProvidersSpeech-Language Pathologist