Provider Demographics
NPI:1467627471
Name:SHOEMAKER, JULIE M (AUDIOLOGIST)
Entity type:Individual
Prefix:
First Name:JULIE
Middle Name:M
Last Name:SHOEMAKER
Suffix:
Gender:F
Credentials:AUDIOLOGIST
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:2850 TRICOM ST
Mailing Address - Street 2:
Mailing Address - City:NORTH CHARLESTON
Mailing Address - State:SC
Mailing Address - Zip Code:29406-9192
Mailing Address - Country:US
Mailing Address - Phone:843-863-1188
Mailing Address - Fax:843-863-8286
Practice Address - Street 1:2850 TRICOM ST
Practice Address - Street 2:
Practice Address - City:NORTH CHARLESTON
Practice Address - State:SC
Practice Address - Zip Code:29406-9192
Practice Address - Country:US
Practice Address - Phone:843-863-1188
Practice Address - Fax:843-863-8286
Is Sole Proprietor?:Yes
Enumeration Date:2008-04-30
Last Update Date:2008-04-30
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
SC3422231H00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes231H00000XSpeech, Language and Hearing Service ProvidersAudiologist