Provider Demographics
NPI:1982816740
Name:EPSTEIN, JULIE B (MED, CCC-SLP)
Entity Type:Individual
Prefix:
First Name:JULIE
Middle Name:B
Last Name:EPSTEIN
Suffix:
Gender:F
Credentials:MED, CCC-SLP
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:11340 VEDRINES DR
Mailing Address - Street 2:
Mailing Address - City:ALPHARETTA
Mailing Address - State:GA
Mailing Address - Zip Code:30022-7970
Mailing Address - Country:US
Mailing Address - Phone:678-620-3534
Mailing Address - Fax:
Practice Address - Street 1:6325 W JOHNS XING
Practice Address - Street 2:
Practice Address - City:DULUTH
Practice Address - State:GA
Practice Address - Zip Code:30097-1530
Practice Address - Country:US
Practice Address - Phone:678-474-7184
Practice Address - Fax:
Is Sole Proprietor?:No
Enumeration Date:2007-05-04
Last Update Date:2007-07-08
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
GASLP004103235Z00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes235Z00000XSpeech, Language and Hearing Service ProvidersSpeech-Language Pathologist