Provider Demographics
NPI:1700267531
Name:AMANN, JULIA M (AUD)
Entity Type:Individual
Prefix:
First Name:JULIA
Middle Name:M
Last Name:AMANN
Suffix:
Gender:F
Credentials:AUD
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:350 HENRY CLAY BLVD
Mailing Address - Street 2:
Mailing Address - City:LEXINGTON
Mailing Address - State:KY
Mailing Address - Zip Code:40502-1024
Mailing Address - Country:US
Mailing Address - Phone:859-268-4545
Mailing Address - Fax:859-269-1857
Practice Address - Street 1:350 HENRY CLAY BLVD
Practice Address - Street 2:
Practice Address - City:LEXINGTON
Practice Address - State:KY
Practice Address - Zip Code:40502-1024
Practice Address - Country:US
Practice Address - Phone:859-268-4545
Practice Address - Fax:859-269-1857
Is Sole Proprietor?:No
Enumeration Date:2015-06-17
Last Update Date:2016-05-04
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
KYSLPAUD00218771231H00000X
KYHISHSP00223883237600000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes231H00000XSpeech, Language and Hearing Service ProvidersAudiologist
No237600000XSpeech, Language and Hearing Service ProvidersAudiologist-Hearing Aid Fitter