Provider Demographics
NPI:1932739158
Name:BROWNE, JULIE P (RT)
Entity Type:Individual
Prefix:
First Name:JULIE
Middle Name:P
Last Name:BROWNE
Suffix:
Gender:F
Credentials:RT
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:PO BOX 5043
Mailing Address - Street 2:
Mailing Address - City:MISSOULA
Mailing Address - State:MT
Mailing Address - Zip Code:59806-5043
Mailing Address - Country:US
Mailing Address - Phone:406-270-7988
Mailing Address - Fax:
Practice Address - Street 1:2025 EAGLE NEST LN
Practice Address - Street 2:
Practice Address - City:MISSOULA
Practice Address - State:MT
Practice Address - Zip Code:59802-5796
Practice Address - Country:US
Practice Address - Phone:406-270-7988
Practice Address - Fax:
Is Sole Proprietor?:Yes
Enumeration Date:2020-01-16
Last Update Date:2020-01-16
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
MT150252085R0202X
235500000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes235500000XSpeech, Language and Hearing Service ProvidersSpecialist/Technologist
No2085R0202XAllopathic & Osteopathic PhysiciansRadiologyDiagnostic Radiology