Provider Demographics
NPI:1790134559
Name:WATSON, JULIA LINDZEE (MS SLP)
Entity Type:Individual
Prefix:
First Name:JULIA
Middle Name:LINDZEE
Last Name:WATSON
Suffix:
Gender:F
Credentials:MS SLP
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:9393 KASIAS TRL
Mailing Address - Street 2:
Mailing Address - City:SNOWFLAKE
Mailing Address - State:AZ
Mailing Address - Zip Code:85937-6505
Mailing Address - Country:US
Mailing Address - Phone:949-554-9083
Mailing Address - Fax:
Practice Address - Street 1:9393 KASIAS TRL
Practice Address - Street 2:
Practice Address - City:SNOWFLAKE
Practice Address - State:AZ
Practice Address - Zip Code:85937-6505
Practice Address - Country:US
Practice Address - Phone:949-554-9083
Practice Address - Fax:
Is Sole Proprietor?:Yes
Enumeration Date:2016-06-12
Last Update Date:2021-07-06
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
AZSLP9987235Z00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes235Z00000XSpeech, Language and Hearing Service ProvidersSpeech-Language Pathologist