Provider Demographics
NPI:1396933719
Name:COGLE, JULIA ANN (MS CCC/SLP)
Entity type:Individual
Prefix:MRS
First Name:JULIA
Middle Name:ANN
Last Name:COGLE
Suffix:
Gender:F
Credentials:MS CCC/SLP
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:203 THORNTON DR
Mailing Address - Street 2:
Mailing Address - City:PALM BEACH GARDENS
Mailing Address - State:FL
Mailing Address - Zip Code:33418-8036
Mailing Address - Country:US
Mailing Address - Phone:561-630-9580
Mailing Address - Fax:561-776-9580
Practice Address - Street 1:203 THORNTON DR
Practice Address - Street 2:
Practice Address - City:PALM BEACH GARDENS
Practice Address - State:FL
Practice Address - Zip Code:33418-8036
Practice Address - Country:US
Practice Address - Phone:561-630-9580
Practice Address - Fax:561-776-9580
Is Sole Proprietor?:Yes
Enumeration Date:2007-10-10
Last Update Date:2007-10-10
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
FLSA6791235Z00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes235Z00000XSpeech, Language and Hearing Service ProvidersSpeech-Language Pathologist