=====================================================
General NPI Number Information
=====================================================
NPI Number | 1740113745
-----------------------------------------------------
Entity Type | Individual
-----------------------------------------------------
Provider Name | JULIANNA HOBAN CCC-SLP
-----------------------------------------------------
Gender | Female
-----------------------------------------------------
=====================================================
Dates
=====================================================
Enumeration Date | 06/08/2026
-----------------------------------------------------
Last Update Date | 06/08/2026
-----------------------------------------------------
=====================================================
Provider Practice Location Address
=====================================================
Address Line | 6675 50TH ST N
-----------------------------------------------------
City | OAKDALE
-----------------------------------------------------
State | MN
-----------------------------------------------------
Zip | 55128-1711
-----------------------------------------------------
Country | US
-----------------------------------------------------
Telephone | 651-748-6700
-----------------------------------------------------
Fax |
-----------------------------------------------------
=====================================================
Provider Business Mailing Address
=====================================================
Address Line | 5516 24TH AVE S
-----------------------------------------------------
City | MINNEAPOLIS
-----------------------------------------------------
State | MN
-----------------------------------------------------
Zip | 55417-1912
-----------------------------------------------------
Country | US
-----------------------------------------------------
Telephone | 330-716-3942
-----------------------------------------------------
Fax |
-----------------------------------------------------
=====================================================
Authorized Official
=====================================================
Title or Position |
-----------------------------------------------------
Name |
-----------------------------------------------------
Credential |
-----------------------------------------------------
Telephone |
-----------------------------------------------------
=====================================================
Scope of Practice (Provider's specialty)
=====================================================
Taxonomy #1
-----------------------------------------------------
Taxonomy Code | 235Z00000X
-----------------------------------------------------
Taxonomy Name | Speech-Language Pathologist
-----------------------------------------------------
License Number | 14414292
-----------------------------------------------------
License Number State | MN
-----------------------------------------------------