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NPI Code Detail

MEDICARE: JULIE ANNE HERNDON MS CCC/SLP

MEDICARE: JULIE ANNE HERNDON 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
1235Z00000XSpeech-Language Pathologist01091128CO

Other Identifiers

# Provider Identifier Provider Identifier Type Provider Identifier State Provider Identifier Issuer
1MEDICAID ID Found: Get Medicaid Details using Online Medicaid Verification Program

General Provider Information

NPI Number : 1568440410
Entity Type Code : Individual
Provider Name (Legal Business Name) : JULIE ANNE HERNDON MS CCC/SLP
Provider Business Mailing Address
First Line : 6660 DELMONICO DR STE D
Second Line :
City : COLORADO SPRINGS
State : CO
Zip : 80919-1961
Country : US
Telephone Number : 888-701-9216
Fax Number : 866-569-1087
Provider Business Practice Location Address
First Line : 5850 MORNING LIGHT TER
Second Line :
City : COLORADO SPRINGS
State : CO
Zip : 80919-3781
Country : US
Telephone Number : 719-651-9401
Fax Number : 719-598-2644
Authorized Official
Title or Position :
Name :
Credential :
Telephone Number :
Provider Enumeration Date : 01/01/2006
Last Update Date : 03/08/2021

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