MEDICARE: JULIA A WEBLEY CCC-SLP

Medicare Provider Information

Scope of Practice

The following information about the specialty of the provider is available:

#	Taxonomy Code	Taxonomy	License Number	License Number State
1	235Z00000X	Speech-Language Pathologist	7810	TN

General Provider Information

NPI Number	:	1154758779
Entity Type Code	:	Individual
Provider Name (Legal Business Name)	:	JULIA A WEBLEY CCC-SLP

Provider Business Mailing Address
First Line	:	5100 SANDERLIN AVE STE 1600
Second Line	:
City	:	MEMPHIS
State	:	TN
Zip	:	38117-4320
Country	:	US
Telephone Number	:	901-677-1090
Fax Number	:	901-677-1091

Provider Business Practice Location Address
First Line	:	13333 BLANCO RD STE 302
Second Line	:	#302
City	:	SAN ANTONIO
State	:	TX
Zip	:	78216-7756
Country	:	US
Telephone Number	:	210-365-4166
Fax Number	:	210-492-4588

Authorized Official
Title or Position	:
Name	:
Credential	:
Telephone Number	:

Provider Enumeration Date	:	09/27/2013
Last Update Date	:	09/10/2024

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