Provider Demographics
NPI:1689152167
Name:BERTONI, JULIE (CFY-SLP)
Entity Type:Individual
Prefix:
First Name:JULIE
Middle Name:
Last Name:BERTONI
Suffix:
Gender:F
Credentials:CFY-SLP
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:1326 W 18TH ST
Mailing Address - Street 2:
Mailing Address - City:TEMPE
Mailing Address - State:AZ
Mailing Address - Zip Code:85281-6213
Mailing Address - Country:US
Mailing Address - Phone:480-968-3165
Mailing Address - Fax:
Practice Address - Street 1:1326 W 18TH ST
Practice Address - Street 2:
Practice Address - City:TEMPE
Practice Address - State:AZ
Practice Address - Zip Code:85281-6213
Practice Address - Country:US
Practice Address - Phone:480-968-3165
Practice Address - Fax:
Is Sole Proprietor?:No
Enumeration Date:2018-08-06
Last Update Date:2018-08-06
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes235Z00000XSpeech, Language and Hearing Service ProvidersSpeech-Language Pathologist