Provider Demographics
NPI:1679293435
Name:GAMEL, JULIANA (CCC-SLP)
Entity Type:Individual
Prefix:
First Name:JULIANA
Middle Name:
Last Name:GAMEL
Suffix:
Gender:F
Credentials:CCC-SLP
Other - Prefix:
Other - First Name:JULIANA
Other - Middle Name:
Other - Last Name:ANGEL
Other - Suffix:
Other - Last Name Type:Professional Name
Other - Credentials:CCC-SLP
Mailing Address - Street 1:1717 TOOMEY RD APT 521
Mailing Address - Street 2:
Mailing Address - City:AUSTIN
Mailing Address - State:TX
Mailing Address - Zip Code:78704-0096
Mailing Address - Country:US
Mailing Address - Phone:206-422-1800
Mailing Address - Fax:
Practice Address - Street 1:1203 S CAPITAL OF TEXAS HWY
Practice Address - Street 2:
Practice Address - City:WEST LAKE HILLS
Practice Address - State:TX
Practice Address - Zip Code:78746-6427
Practice Address - Country:US
Practice Address - Phone:512-732-1960
Practice Address - Fax:
Is Sole Proprietor?:No
Enumeration Date:2022-08-31
Last Update Date:2022-08-31
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
TX117626235Z00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes235Z00000XSpeech, Language and Hearing Service ProvidersSpeech-Language Pathologist