Provider Demographics
NPI:1972754372
Name:WALKER, JULIA LYNNE (MA, CCC-SLP)
Entity Type:Individual
Prefix:
First Name:JULIA
Middle Name:LYNNE
Last Name:WALKER
Suffix:
Gender:F
Credentials:MA, CCC-SLP
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:19452 ROMNEY DR
Mailing Address - Street 2:
Mailing Address - City:NOBLESVILLE
Mailing Address - State:IN
Mailing Address - Zip Code:46060-7019
Mailing Address - Country:US
Mailing Address - Phone:317-776-1434
Mailing Address - Fax:
Practice Address - Street 1:19452 ROMNEY DR
Practice Address - Street 2:
Practice Address - City:NOBLESVILLE
Practice Address - State:IN
Practice Address - Zip Code:46060-7019
Practice Address - Country:US
Practice Address - Phone:317-776-1434
Practice Address - Fax:
Is Sole Proprietor?:No
Enumeration Date:2008-10-02
Last Update Date:2008-10-02
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
IN22003124A235Z00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes235Z00000XSpeech, Language and Hearing Service ProvidersSpeech-Language Pathologist