Provider Demographics
NPI:1760650170
Name:JOHNS, JULIE O (AUD)
Entity Type:Individual
Prefix:
First Name:JULIE
Middle Name:O
Last Name:JOHNS
Suffix:
Gender:F
Credentials:AUD
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:6645 ALVARADO RD
Mailing Address - Street 2:S#4000
Mailing Address - City:SAN DIEGO
Mailing Address - State:CA
Mailing Address - Zip Code:92120-5208
Mailing Address - Country:US
Mailing Address - Phone:619-229-4904
Mailing Address - Fax:619-229-4938
Practice Address - Street 1:6645 ALVARADO RD
Practice Address - Street 2:S#4000
Practice Address - City:SAN DIEGO
Practice Address - State:CA
Practice Address - Zip Code:92120-5208
Practice Address - Country:US
Practice Address - Phone:619-229-4904
Practice Address - Fax:619-229-4938
Is Sole Proprietor?:No
Enumeration Date:2008-02-19
Last Update Date:2008-02-19
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
CAAU884231H00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes231H00000XSpeech, Language and Hearing Service ProvidersAudiologist