Provider Demographics
NPI:1972659985
Name:MONCRIEF, JULIE CHIPMAN (MCD CCC-CLP)
Entity Type:Individual
Prefix:MRS
First Name:JULIE
Middle Name:CHIPMAN
Last Name:MONCRIEF
Suffix:
Gender:F
Credentials:MCD CCC-CLP
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Mailing Address - Street 1:2290 MOORES MILL RD
Mailing Address - Street 2:SUITE 400
Mailing Address - City:AUBURN
Mailing Address - State:AL
Mailing Address - Zip Code:36830-8431
Mailing Address - Country:US
Mailing Address - Phone:334-209-2009
Mailing Address - Fax:334-209-2109
Practice Address - Street 1:2290 MOORES MILL RD
Practice Address - Street 2:SUITE 400
Practice Address - City:AUBURN
Practice Address - State:AL
Practice Address - Zip Code:36830-8431
Practice Address - Country:US
Practice Address - Phone:334-209-2009
Practice Address - Fax:334-209-2109
Is Sole Proprietor?:No
Enumeration Date:2007-01-25
Last Update Date:2013-06-17
Deactivation Date:
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Provider Licenses
StateLicense IDTaxonomies
AL1754235Z00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes235Z00000XSpeech, Language and Hearing Service ProvidersSpeech-Language Pathologist
Provider Identifiers
StateIdentifier IDID TypeIssuer
AL890012760Medicaid