Healthcare Provider Details

I. General information

NPI: 1932990348
Provider Name (Legal Business Name): JULIA KARLL
Entity Type: Individual
Gender: Female
Sole Proprietor: N

II. Dates (important events)

Enumeration Date: 05/14/2025
Last Update Date: 05/14/2025
Certification Date: 05/14/2025
Deactivation Date:
Reactivation Date:

III. Provider practice location address

5943 TELEGRAPH RD
SAINT LOUIS MO
63129-4715
US

IV. Provider business mailing address

903 BROWNELL AVE
SAINT LOUIS MO
63122-3201
US

V. Phone/Fax

Practice location:
  • Phone: 314-846-2000
  • Fax:
Mailing address:
  • Phone: 785-840-5005
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

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

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: