Healthcare Provider Details

I. General information

NPI: 1427972090
Provider Name (Legal Business Name): JULIA WANK
Entity Type: Individual
Gender: Female
Sole Proprietor: Y

II. Dates (important events)

Enumeration Date: 08/06/2026
Last Update Date: 08/06/2026
Certification Date: 08/06/2026
Deactivation Date:
Reactivation Date:

III. Provider practice location address

4108 W 8TH ST
CINCINNATI OH
45205-2364
US

IV. Provider business mailing address

11083 HAMILTON AVE
CINCINNATI OH
45231-1409
US

V. Phone/Fax

Practice location:
  • Phone: 262-455-1482
  • Fax:
Mailing address:
  • Phone:
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code235Z00000X
TaxonomySpeech-Language Pathologist
License NumberCOND.20263578-SP
License Number StateOH

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: