Provider Demographics
NPI:1649086125
Name:VARGUS, JULIE (HIS)
Entity type:Individual
Prefix:
First Name:JULIE
Middle Name:
Last Name:VARGUS
Suffix:
Gender:F
Credentials:HIS
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:860 ROUTE 134 STE 1
Mailing Address - Street 2:
Mailing Address - City:SOUTH DENNIS
Mailing Address - State:MA
Mailing Address - Zip Code:02660-2577
Mailing Address - Country:US
Mailing Address - Phone:508-255-1285
Mailing Address - Fax:978-254-0513
Practice Address - Street 1:84 RT 6A # MA-6A
Practice Address - Street 2:
Practice Address - City:ORLEANS
Practice Address - State:MA
Practice Address - Zip Code:02653-2411
Practice Address - Country:US
Practice Address - Phone:508-255-1285
Practice Address - Fax:
Is Sole Proprietor?:No
Enumeration Date:2024-12-09
Last Update Date:2024-12-11
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
MAHES6569237700000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes237700000XSpeech, Language and Hearing Service ProvidersHearing Instrument Specialist