Healthcare Provider Details

I. General information

NPI: 1376473728
Provider Name (Legal Business Name): JULIE KIM ALEXANDER SLP
Entity Type: Individual
Gender: Female
Sole Proprietor: Y

II. Dates (important events)

Enumeration Date: 05/19/2026
Last Update Date: 05/19/2026
Certification Date: 05/19/2026
Deactivation Date:
Reactivation Date:

III. Provider practice location address

3330 CALLE BARCELONA
CARLSBAD CA
92009-9319
US

IV. Provider business mailing address

7917 VISTA CANELA
CARLSBAD CA
92009-2911
US

V. Phone/Fax

Practice location:
  • Phone: 760-943-2004
  • Fax:
Mailing address:
  • Phone: 408-313-5956
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code235Z00000X
TaxonomySpeech-Language Pathologist
License Number15404
License Number StateCA

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: