Provider Demographics
NPI:1770737223
Name:ALDRICH, JULIET S (MS-CCCSLP)
Entity type:Individual
Prefix:MS
First Name:JULIET
Middle Name:S
Last Name:ALDRICH
Suffix:
Gender:F
Credentials:MS-CCCSLP
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:51 GOLFVIEW RD
Mailing Address - Street 2:
Mailing Address - City:HADLEY
Mailing Address - State:NY
Mailing Address - Zip Code:12835-2439
Mailing Address - Country:US
Mailing Address - Phone:518-696-4513
Mailing Address - Fax:
Practice Address - Street 1:51 GOLFVIEW RD
Practice Address - Street 2:
Practice Address - City:HADLEY
Practice Address - State:NY
Practice Address - Zip Code:12835-2439
Practice Address - Country:US
Practice Address - Phone:518-696-4513
Practice Address - Fax:
Is Sole Proprietor?:Yes
Enumeration Date:2008-11-11
Last Update Date:2008-11-11
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
NY006080-1235Z00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes235Z00000XSpeech, Language and Hearing Service ProvidersSpeech-Language Pathologist