Healthcare Provider Details

I. General information

NPI: 1831746304
Provider Name (Legal Business Name): JULIE FOSHEE
Entity Type: Individual
Gender: Female
Sole Proprietor: N

Provider Other Name: JULIE ATKINS

II. Dates (important events)

Enumeration Date: 08/20/2019
Last Update Date: 08/20/2019
Certification Date:
Deactivation Date:
Reactivation Date:

III. Provider practice location address

1006 S ARKANSAS AVE
RUSSELLVILLE AR
72801-6733
US

IV. Provider business mailing address

3325 PEBBLE BEACH RD APT 5
CONWAY AR
72034-8752
US

V. Phone/Fax

Practice location:
  • Phone: 479-890-5733
  • Fax:
Mailing address:
  • Phone: 870-582-2477
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code235Z00000X
TaxonomySpeech-Language Pathologist
License Number
License Number State

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: