MEDICARE: JULIA CLAYTON

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

General Provider Information

NPI Number	:	1952077273
Entity Type Code	:	Individual
Provider Name (Legal Business Name)	:	JULIA CLAYTON

Provider Business Mailing Address
First Line	:	2442 N BREMEN ST
Second Line	:
City	:	MILWAUKEE
State	:	WI
Zip	:	53212-3036
Country	:	US
Telephone Number	:
Fax Number	:

Provider Business Practice Location Address
First Line	:	8707 W NORTH AVE
Second Line	:
City	:	WAUWATOSA
State	:	WI
Zip	:	53226-2723
Country	:	US
Telephone Number	:	414-208-0753
Fax Number	:

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

Provider Enumeration Date	:	08/17/2021
Last Update Date	:	08/17/2021

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Directions to “ JULIA CLAYTON ” Practice Location

Language	Start Address	Practice Location

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