Provider Demographics
NPI:1770878084
Name:MARZLUF, JULIE ANN (MS CCC-SLP)
Entity type:Individual
Prefix:MS
First Name:JULIE
Middle Name:ANN
Last Name:MARZLUF
Suffix:
Gender:F
Credentials:MS CCC-SLP
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:7330 W GREENFIELD AVE STE 206
Mailing Address - Street 2:
Mailing Address - City:WEST ALLIS
Mailing Address - State:WI
Mailing Address - Zip Code:53214-4706
Mailing Address - Country:US
Mailing Address - Phone:414-666-1530
Mailing Address - Fax:
Practice Address - Street 1:7330 W GREENFIELD AVE STE 206
Practice Address - Street 2:
Practice Address - City:WEST ALLIS
Practice Address - State:WI
Practice Address - Zip Code:53214-4706
Practice Address - Country:US
Practice Address - Phone:206-832-6825
Practice Address - Fax:
Is Sole Proprietor?:Yes
Enumeration Date:2011-06-14
Last Update Date:2019-02-11
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
WI4295-154235Z00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes235Z00000XSpeech, Language and Hearing Service ProvidersSpeech-Language Pathologist