MEDICARE: JULIE COTTER MS, 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	2202006936	VA

General Provider Information

NPI Number	:	1174462824
Entity Type Code	:	Individual
Provider Name (Legal Business Name)	:	JULIE COTTER MS, CCC-SLP

Provider Business Mailing Address
First Line	:	20604 GORDON PARK SQ STE 190
Second Line	:
City	:	ASHBURN
State	:	VA
Zip	:	20147-3144
Country	:	US
Telephone Number	:	540-249-6221
Fax Number	:

Provider Business Practice Location Address
First Line	:	20604 GORDON PARK SQ STE 190
Second Line	:
City	:	ASHBURN
State	:	VA
Zip	:	20147-3144
Country	:	US
Telephone Number	:	540-249-6221
Fax Number	:

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

Provider Enumeration Date	:	03/27/2026
Last Update Date	:	03/27/2026

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