Healthcare Provider Details

I. General information

NPI: 1841369923
Provider Name (Legal Business Name): JULIA CARRINGTON MCCAFFREY M.S., CCC-SLP
Entity Type: Individual
Gender: Female
Sole Proprietor: N

Provider Other Name: JULIA CARRINGTON FINCH M.S., CCC-SLP

II. Dates (important events)

Enumeration Date: 11/06/2006
Last Update Date: 08/11/2011
Certification Date:
Deactivation Date:
Reactivation Date:

III. Provider practice location address

1401 S GRAND AVE
LOS ANGELES CA
90015-3010
US

IV. Provider business mailing address

3835 LEGION LN
LOS ANGELES CA
90039-1422
US

V. Phone/Fax

Practice location:
  • Phone: 213-742-5568
  • Fax:
Mailing address:
  • Phone: 617-970-2550
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code235Z00000X
TaxonomySpeech-Language Pathologist
License NumberSP 16039
License Number StateCA

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: