Healthcare Provider Details

I. General information

NPI: 1245671874
Provider Name (Legal Business Name): JULIE ANNE BARTHOLOMEW MA-CCC, SLP
Entity Type: Individual
Gender: Female
Sole Proprietor: N

II. Dates (important events)

Enumeration Date: 07/11/2013
Last Update Date: 03/04/2026
Certification Date: 03/04/2026
Deactivation Date:
Reactivation Date:

III. Provider practice location address

2247 6TH ST
BERKELEY CA
94710-2218
US

IV. Provider business mailing address

4921 SCOTIA AVE
OAKLAND CA
94605-5653
US

V. Phone/Fax

Practice location:
  • Phone: 510-698-9433
  • Fax:
Mailing address:
  • Phone: 310-343-5633
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code235Z00000X
TaxonomySpeech-Language Pathologist
License Number17378
License Number StateCA

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: