Provider Demographics
NPI:1720594252
Name:WIELAND, JULIE ANNETTE (AUD)
Entity Type:Individual
Prefix:
First Name:JULIE
Middle Name:ANNETTE
Last Name:WIELAND
Suffix:
Gender:F
Credentials:AUD
Other - Prefix:
Other - First Name:JULIE
Other - Middle Name:ANNETTE
Other - Last Name:SCHNOEBELEN
Other - Suffix:
Other - Last Name Type:Former Name
Other - Credentials:
Mailing Address - Street 1:200 HAWKINS DR
Mailing Address - Street 2:
Mailing Address - City:IOWA CITY
Mailing Address - State:IA
Mailing Address - Zip Code:52242-1009
Mailing Address - Country:US
Mailing Address - Phone:319-356-3970
Mailing Address - Fax:319-356-8172
Practice Address - Street 1:200 HAWKINS DR
Practice Address - Street 2:
Practice Address - City:IOWA CITY
Practice Address - State:IA
Practice Address - Zip Code:52242-1009
Practice Address - Country:US
Practice Address - Phone:319-356-3970
Practice Address - Fax:319-356-8172
Is Sole Proprietor?:No
Enumeration Date:2017-12-20
Last Update Date:2018-01-30
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
IA00583237600000X
IA00342231H00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes231H00000XSpeech, Language and Hearing Service ProvidersAudiologist
No237600000XSpeech, Language and Hearing Service ProvidersAudiologist-Hearing Aid Fitter