Provider Demographics
NPI:1255009759
Name:WHITWORTH, JULIE ARAMBULA (CCC-SLP)
Entity type:Individual
Prefix:
First Name:JULIE
Middle Name:ARAMBULA
Last Name:WHITWORTH
Suffix:
Gender:F
Credentials:CCC-SLP
Other - Prefix:
Other - First Name:JULIE
Other - Middle Name:ELIZABETH
Other - Last Name:ARAMBULA
Other - Suffix:
Other - Last Name Type:Former Name
Other - Credentials:CCC-SLP
Mailing Address - Street 1:200 LINE ST
Mailing Address - Street 2:
Mailing Address - City:HILLSBORO
Mailing Address - State:TX
Mailing Address - Zip Code:76645-3149
Mailing Address - Country:US
Mailing Address - Phone:254-582-3814
Mailing Address - Fax:254-582-0050
Practice Address - Street 1:200 LINE ST
Practice Address - Street 2:
Practice Address - City:HILLSBORO
Practice Address - State:TX
Practice Address - Zip Code:76645-3149
Practice Address - Country:US
Practice Address - Phone:254-582-3814
Practice Address - Fax:254-582-0050
Is Sole Proprietor?:No
Enumeration Date:2021-08-31
Last Update Date:2021-08-31
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
TX16193235Z00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes235Z00000XSpeech, Language and Hearing Service ProvidersSpeech-Language Pathologist