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NPI Code Detail

MEDICARE: MS. JULIA GRANATO MA CF-SLP

MEDICARE: MS. JULIA GRANATO MA CF-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
1235Z00000XSpeech-Language Pathologist30000823NC

General Provider Information

NPI Number : 1366171746
Entity Type Code : Individual
Provider Name (Legal Business Name) : MS. JULIA GRANATO MA CF-SLP
Provider Business Mailing Address
First Line : 6911 SHANNON WILLOW RD STE 700
Second Line :
City : CHARLOTTE
State : NC
Zip : 28226-1353
Country : US
Telephone Number : 704-540-3777
Fax Number :
Provider Business Practice Location Address
First Line : 6911 SHANNON WILLOW RD STE 700
Second Line :
City : CHARLOTTE
State : NC
Zip : 28226-1353
Country : US
Telephone Number : 704-540-3777
Fax Number :
Authorized Official
Title or Position :
Name :
Credential :
Telephone Number :
Provider Enumeration Date : 06/09/2022
Last Update Date : 06/09/2022

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