Healthcare Provider Details

I. General information

NPI: 1770788259
Provider Name (Legal Business Name): JULIE THERESE RADKE MA CCC-SLP
Entity Type: Individual
Gender: Female
Sole Proprietor: N

Provider Other Name: JULIE BEHR MA CCC-SLP

II. Dates (important events)

Enumeration Date: 06/15/2007
Last Update Date: 05/18/2026
Certification Date: 05/18/2026
Deactivation Date:
Reactivation Date:

III. Provider practice location address

40121 TORREY PINES RD
MURRIETA CA
92563-6384
US

IV. Provider business mailing address

45066 CORTE CAMELLIA
TEMECULA CA
92592-1636
US

V. Phone/Fax

Practice location:
  • Phone: 951-696-1428
  • Fax:
Mailing address:
  • Phone: 760-650-6056
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code235Z00000X
TaxonomySpeech-Language Pathologist
License Number15360
License Number StateCA

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: