Provider Demographics
NPI:1740720390
Name:PELZEL, JULIE MARIE (MA, CCC-SLP)
Entity type:Individual
Prefix:MISS
First Name:JULIE
Middle Name:MARIE
Last Name:PELZEL
Suffix:
Gender:F
Credentials:MA, CCC-SLP
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:9745 OLYMPIA DR
Mailing Address - Street 2:
Mailing Address - City:FISHERS
Mailing Address - State:IN
Mailing Address - Zip Code:46037-9226
Mailing Address - Country:US
Mailing Address - Phone:832-465-3231
Mailing Address - Fax:
Practice Address - Street 1:9745 OLYMPIA DR
Practice Address - Street 2:
Practice Address - City:FISHERS
Practice Address - State:IN
Practice Address - Zip Code:46037-9226
Practice Address - Country:US
Practice Address - Phone:832-465-3231
Practice Address - Fax:
Is Sole Proprietor?:No
Enumeration Date:2017-03-01
Last Update Date:2018-02-21
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
IN22006498A235Z00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes235Z00000XSpeech, Language and Hearing Service ProvidersSpeech-Language Pathologist