Healthcare Provider Details

I. General information

NPI: 1790864973
Provider Name (Legal Business Name): JULIE LYNN NEUENSWANDER MA, CCC-A
Entity Type: Individual
Gender: Female
Sole Proprietor: N

II. Dates (important events)

Enumeration Date: 11/06/2006
Last Update Date: 10/16/2012
Certification Date:
Deactivation Date:
Reactivation Date:

III. Provider practice location address

920 SW LANE ST SUITE 200
TOPEKA KS
66606-1543
US

IV. Provider business mailing address

920 SW LANE ST SUITE 200
TOPEKA KS
66606-1543
US

V. Phone/Fax

Practice location:
  • Phone: 785-233-0500
  • Fax: 785-233-0660
Mailing address:
  • Phone: 785-233-0500
  • Fax: 785-233-0660

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyN
Taxonomy Code231H00000X
TaxonomyAudiologist
License Number1957
License Number StateKS
# 2
Primary TaxonomyY
Taxonomy Code237600000X
TaxonomyAudiologist-Hearing Aid Fitter
License Number1957
License Number StateKS

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: