Healthcare Provider Details

I. General information

NPI: 1114258910
Provider Name (Legal Business Name): JULIE ANN BIRCHFIELD
Entity Type: Individual
Gender: Female
Sole Proprietor: N

II. Dates (important events)

Enumeration Date: 01/19/2010
Last Update Date: 09/19/2025
Certification Date: 09/19/2025
Deactivation Date:
Reactivation Date:

III. Provider practice location address

216 F ST # 76
DAVIS CA
95616-4515
US

IV. Provider business mailing address

216 F ST # 76
DAVIS CA
95616-4515
US

V. Phone/Fax

Practice location:
  • Phone: 530-668-8988
  • Fax:
Mailing address:
  • Phone: 530-668-8988
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code231H00000X
TaxonomyAudiologist
License Number299227
License Number StateKY
# 2
Primary TaxonomyN
Taxonomy Code246ZE0600X
TaxonomyElectroneurodiagnostic Specialist/Technologist
License Number
License Number State

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: