Healthcare Provider Details

I. General information

NPI: 1871282327
Provider Name (Legal Business Name): JULIA YETT
Entity Type: Individual
Gender: Female
Sole Proprietor: Y

II. Dates (important events)

Enumeration Date: 05/02/2023
Last Update Date: 05/02/2023
Certification Date: 05/02/2023
Deactivation Date:
Reactivation Date:

III. Provider practice location address

320 FALLS ST UNIT 218
GREENVILLE SC
29601-3517
US

IV. Provider business mailing address

320 FALLS ST UNIT 218
GREENVILLE SC
29601-3517
US

V. Phone/Fax

Practice location:
  • Phone: 805-234-5273
  • Fax:
Mailing address:
  • Phone: 805-234-5273
  • 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: