Provider Demographics
NPI:1952444705
Name:GASWAY, JULIE GH (MA CCC SPEECH LANGUA)
Entity Type:Individual
Prefix:MRS
First Name:JULIE
Middle Name:GH
Last Name:GASWAY
Suffix:
Gender:F
Credentials:MA CCC SPEECH LANGUA
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:380 GREEN VALLEY TERRACE SE
Mailing Address - Street 2:
Mailing Address - City:CEDAR RAPIDS
Mailing Address - State:IA
Mailing Address - Zip Code:52403
Mailing Address - Country:US
Mailing Address - Phone:319-362-9401
Mailing Address - Fax:319-286-9189
Practice Address - Street 1:1825 29TH STREET NE
Practice Address - Street 2:SUITE C
Practice Address - City:CEDAR RAPIDS
Practice Address - State:IA
Practice Address - Zip Code:52402
Practice Address - Country:US
Practice Address - Phone:319-310-7724
Practice Address - Fax:
Is Sole Proprietor?:No
Enumeration Date:2007-02-14
Last Update Date:2007-07-08
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
IA00591235Z00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes235Z00000XSpeech, Language and Hearing Service ProvidersSpeech-Language Pathologist