Healthcare Provider Details

I. General information

NPI: 1285615807
Provider Name (Legal Business Name): JULIE KUHN SP
Entity Type: Individual
Gender: Female
Sole Proprietor: X

II. Dates (important events)

Enumeration Date: 11/10/2005
Last Update Date: 07/08/2007
Certification Date:
Deactivation Date:
Reactivation Date:

III. Provider practice location address

305 CENTRE ST
NEWTON MA
02458-1719
US

IV. Provider business mailing address

305 CENTRE ST
NEWTON MA
02458-1719
US

V. Phone/Fax

Practice location:
  • Phone: 617-244-8480
  • Fax: 617-244-8312
Mailing address:
  • Phone: 617-244-8480
  • Fax: 617-244-8312

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code235Z00000X
TaxonomySpeech-Language Pathologist
License Number6355
License Number StateMA

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: