Provider Demographics
NPI:1821773490
Name:PERTTUNEN, JULIANNA (AUD)
Entity Type:Individual
Prefix:DR
First Name:JULIANNA
Middle Name:
Last Name:PERTTUNEN
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 1:2515 COLLEGE AVE
Mailing Address - Street 2:
Mailing Address - City:CONWAY
Mailing Address - State:AR
Mailing Address - Zip Code:72034-6135
Mailing Address - Country:US
Mailing Address - Phone:501-205-1215
Mailing Address - Fax:501-205-1250
Practice Address - Street 1:11219 FINANCIAL CENTRE PKWY STE 260
Practice Address - Street 2:
Practice Address - City:LITTLE ROCK
Practice Address - State:AR
Practice Address - Zip Code:72211-3882
Practice Address - Country:US
Practice Address - Phone:501-621-8250
Practice Address - Fax:501-621-8251
Is Sole Proprietor?:No
Enumeration Date:2023-06-20
Last Update Date:2023-06-20
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
AR202196231H00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes231H00000XSpeech, Language and Hearing Service ProvidersAudiologist