Healthcare Provider Details

I. General information

NPI: 1972417442
Provider Name (Legal Business Name): JULIA SANDERS
Entity Type: Individual
Gender: Female
Sole Proprietor: N

II. Dates (important events)

Enumeration Date: 09/30/2026
Last Update Date: 09/30/2026
Certification Date: 09/30/2026
Deactivation Date:
Reactivation Date:

III. Provider practice location address

281 LINCOLN ST
WORCESTER MA
01605-2138
US

IV. Provider business mailing address

281 LINCOLN ST
WORCESTER MA
01605-2138
US

V. Phone/Fax

Practice location:
  • Phone: 855-862-7763
  • Fax:
Mailing address:
  • Phone: 855-862-7763
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code231H00000X
TaxonomyAudiologist
License Number10253
License Number StateLA

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: