Provider Demographics
NPI:1134199870
Name:SHIRK, JULIA A (AUD)
Entity type:Individual
Prefix:MS
First Name:JULIA
Middle Name:A
Last Name:SHIRK
Suffix:
Gender:F
Credentials:AUD
Other - Prefix:MS
Other - First Name:JULIA
Other - Middle Name:A
Other - Last Name:DUNCAN
Other - Suffix:
Other - Last Name Type:Former Name
Other - Credentials:MS
Mailing Address - Street 1:1145 S UTICA AVE
Mailing Address - Street 2:SUITE 302
Mailing Address - City:TULSA
Mailing Address - State:OK
Mailing Address - Zip Code:74104-4000
Mailing Address - Country:US
Mailing Address - Phone:918-592-3737
Mailing Address - Fax:918-592-3337
Practice Address - Street 1:1145 S UTICA AVE
Practice Address - Street 2:SUITE 302
Practice Address - City:TULSA
Practice Address - State:OK
Practice Address - Zip Code:74104-4000
Practice Address - Country:US
Practice Address - Phone:918-592-3737
Practice Address - Fax:918-592-3337
Is Sole Proprietor?:Yes
Enumeration Date:2006-01-25
Last Update Date:2008-06-10
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
OK70231H00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes231H00000XSpeech, Language and Hearing Service ProvidersAudiologist