Provider Demographics
NPI:1831122076
Name:ALKIRE, JULIA L (SLP)
Entity Type:Individual
Prefix:MRS
First Name:JULIA
Middle Name:L
Last Name:ALKIRE
Suffix:
Gender:F
Credentials:SLP
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:4017 KIMPTON PL
Mailing Address - Street 2:
Mailing Address - City:LARGO
Mailing Address - State:FL
Mailing Address - Zip Code:33771-3313
Mailing Address - Country:US
Mailing Address - Phone:727-535-7833
Mailing Address - Fax:
Practice Address - Street 1:4017 KIMPTON PL
Practice Address - Street 2:
Practice Address - City:LARGO
Practice Address - State:FL
Practice Address - Zip Code:33771-3313
Practice Address - Country:US
Practice Address - Phone:727-535-7833
Practice Address - Fax:
Is Sole Proprietor?:Yes
Enumeration Date:2006-07-09
Last Update Date:2007-07-09
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
FLSA4016235Z00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes235Z00000XSpeech, Language and Hearing Service ProvidersSpeech-Language Pathologist
Provider Identifiers
StateIdentifier IDID TypeIssuer
FLSA 4016OtherDPT OF HEALTH SLP LICENCE