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NPI Code Detail

MEDICARE: JULIA KOONCE

MEDICARE: JULIA KOONCE
Medicare Provider Information

Scope of Practice

The following information about the specialty of the provider is available:

# Taxonomy Code Taxonomy License Number License Number State
1235Z00000XSpeech-Language Pathologist14405374TN
2235Z00000XSpeech-Language PathologistSL019178PA

General Provider Information

NPI Number : 1003638230
Entity Type Code : Individual
Provider Name (Legal Business Name) : JULIA KOONCE
Provider Business Mailing Address
First Line : 10579 CEDAR GROVE RD STE 120
Second Line :
City : SMYRNA
State : TN
Zip : 37167-8385
Country : US
Telephone Number :
Fax Number :
Provider Business Practice Location Address
First Line : 10579 CEDAR GROVE RD STE 120
Second Line :
City : SMYRNA
State : TN
Zip : 37167-8385
Country : US
Telephone Number : 931-808-4538
Fax Number :
Authorized Official
Title or Position :
Name :
Credential :
Telephone Number :
Provider Enumeration Date : 10/29/2024
Last Update Date : 06/02/2026

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Directions to “ JULIA KOONCE ” Practice Location

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