Provider Demographics
NPI:1841694551
Name:PALACIOS, JULIA ANN (SLP)
Entity type:Individual
Prefix:MS
First Name:JULIA
Middle Name:ANN
Last Name:PALACIOS
Suffix:
Gender:F
Credentials:SLP
Other - Prefix:
Other - First Name:JULIA
Other - Middle Name:ANN
Other - Last Name:ELISONDO
Other - Suffix:
Other - Last Name Type:Other Name
Other - Credentials:SLP
Mailing Address - Street 1:1217 W . HOUSTON AVE
Mailing Address - Street 2:
Mailing Address - City:MCALLEN
Mailing Address - State:TX
Mailing Address - Zip Code:78501-5012
Mailing Address - Country:US
Mailing Address - Phone:956-631-9171
Mailing Address - Fax:956-631-7566
Practice Address - Street 1:2422 E TYLER AVE #C
Practice Address - Street 2:
Practice Address - City:HARLINGEN
Practice Address - State:TX
Practice Address - Zip Code:78550
Practice Address - Country:US
Practice Address - Phone:956-423-9171
Practice Address - Fax:956-423-7457
Is Sole Proprietor?:No
Enumeration Date:2014-10-09
Last Update Date:2023-12-22
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
235Z00000X
TX110812235Z00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes235Z00000XSpeech, Language and Hearing Service ProvidersSpeech-Language Pathologist
Provider Identifiers
StateIdentifier IDID TypeIssuer
TX350820201Medicaid