Provider Demographics
NPI:1679541387
Name:KNOTE, JULIE JOY (MS, CCC-SLP, ITDS)
Entity Type:Individual
Prefix:MS
First Name:JULIE
Middle Name:JOY
Last Name:KNOTE
Suffix:
Gender:F
Credentials:MS, CCC-SLP, ITDS
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:418 APACHE LN
Mailing Address - Street 2:
Mailing Address - City:BOCA RATON
Mailing Address - State:FL
Mailing Address - Zip Code:33487-1411
Mailing Address - Country:US
Mailing Address - Phone:954-401-4525
Mailing Address - Fax:561-770-6435
Practice Address - Street 1:418 APACHE LN
Practice Address - Street 2:
Practice Address - City:BOCA RATON
Practice Address - State:FL
Practice Address - Zip Code:33487-1411
Practice Address - Country:US
Practice Address - Phone:954-401-4525
Practice Address - Fax:561-770-6435
Is Sole Proprietor?:Yes
Enumeration Date:2006-03-09
Last Update Date:2024-03-25
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
FLSA 4716235Z00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes235Z00000XSpeech, Language and Hearing Service ProvidersSpeech-Language Pathologist
Provider Identifiers
StateIdentifier IDID TypeIssuer
FL4255OtherTHERAPY REVIEW SYSTEMS
FL885258800Medicaid
FLS1976OtherBLUE CROSS/ BLUE SHIELD