Provider Demographics
NPI:1821238601
Name:GRANITO, JULIE ELIZABETH (CCC/SLP)
Entity Type:Individual
Prefix:
First Name:JULIE
Middle Name:ELIZABETH
Last Name:GRANITO
Suffix:
Gender:F
Credentials:CCC/SLP
Other - Prefix:
Other - First Name:JULIE
Other - Middle Name:ELIZABETH
Other - Last Name:POTICHER
Other - Suffix:
Other - Last Name Type:Former Name
Other - Credentials:
Mailing Address - Street 1:182 VILLAGE GLEN DRIVE
Mailing Address - Street 2:
Mailing Address - City:HARRISBURG
Mailing Address - State:PA
Mailing Address - Zip Code:17112-8742
Mailing Address - Country:US
Mailing Address - Phone:717-503-2690
Mailing Address - Fax:
Practice Address - Street 1:182 VILLAGE GLEN DRIVE
Practice Address - Street 2:
Practice Address - City:HARRISBURG
Practice Address - State:PA
Practice Address - Zip Code:17112-8742
Practice Address - Country:US
Practice Address - Phone:717-503-2690
Practice Address - Fax:
Is Sole Proprietor?:Yes
Enumeration Date:2009-03-06
Last Update Date:2009-03-06
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes235Z00000XSpeech, Language and Hearing Service ProvidersSpeech-Language Pathologist