Healthcare Provider Details

I. General information

NPI: 1477498368
Provider Name (Legal Business Name): JULIA NOELLE PRICE
Entity Type: Individual
Gender: Female
Sole Proprietor: N

II. Dates (important events)

Enumeration Date: 04/20/2026
Last Update Date: 04/20/2026
Certification Date: 04/20/2026
Deactivation Date:
Reactivation Date:

III. Provider practice location address

1609 E MADISON AVE
EL CAJON CA
92019-1046
US

IV. Provider business mailing address

4999 RANDLETT DR
LA MESA CA
91942-9512
US

V. Phone/Fax

Practice location:
  • Phone: 619-588-3146
  • Fax:
Mailing address:
  • Phone:
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code235Z00000X
TaxonomySpeech-Language Pathologist
License Number26058
License Number StateCA

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: