Provider Demographics
NPI:1922692458
Name:CHUA, JULIE ANA M (SLP)
Entity Type:Individual
Prefix:
First Name:JULIE ANA
Middle Name:M
Last Name:CHUA
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 1:1326 MELSTONE ST
Mailing Address - Street 2:
Mailing Address - City:BEAUMONT
Mailing Address - State:CA
Mailing Address - Zip Code:92223-3258
Mailing Address - Country:US
Mailing Address - Phone:951-755-4500
Mailing Address - Fax:
Practice Address - Street 1:1326 MELSTONE ST
Practice Address - Street 2:
Practice Address - City:BEAUMONT
Practice Address - State:CA
Practice Address - Zip Code:92223-3258
Practice Address - Country:US
Practice Address - Phone:951-755-4500
Practice Address - Fax:
Is Sole Proprietor?:No
Enumeration Date:2021-02-25
Last Update Date:2021-02-25
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes235Z00000XSpeech, Language and Hearing Service ProvidersSpeech-Language Pathologist