Provider Demographics
NPI:1922203892
Name:HESS, JULIE ANN (EDD CCC-SLP)
Entity Type:Individual
Prefix:MRS
First Name:JULIE
Middle Name:ANN
Last Name:HESS
Suffix:
Gender:F
Credentials:EDD CCC-SLP
Other - Prefix:
Other - First Name:JULIE
Other - Middle Name:ANN
Other - Last Name:MOORE
Other - Suffix:
Other - Last Name Type:Former Name
Other - Credentials:
Mailing Address - Street 1:117 ANNECY CT
Mailing Address - Street 2:
Mailing Address - City:TELL CITY
Mailing Address - State:IN
Mailing Address - Zip Code:47586-2004
Mailing Address - Country:US
Mailing Address - Phone:812-719-6392
Mailing Address - Fax:855-640-5774
Practice Address - Street 1:117 ANNECY CT
Practice Address - Street 2:
Practice Address - City:TELL CITY
Practice Address - State:IN
Practice Address - Zip Code:47586-2004
Practice Address - Country:US
Practice Address - Phone:812-719-6392
Practice Address - Fax:855-640-5774
Is Sole Proprietor?:Yes
Enumeration Date:2007-06-19
Last Update Date:2016-10-31
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
IN22004141A235Z00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes235Z00000XSpeech, Language and Hearing Service ProvidersSpeech-Language Pathologist
Provider Identifiers
StateIdentifier IDID TypeIssuer
IN200852200AOtherFIRST STEPS SLP