MEDICARE: JULIA TROMBLAY

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
1	235Z00000X	Speech-Language Pathologist

General Provider Information

NPI Number	:	1174970420
Entity Type Code	:	Individual
Provider Name (Legal Business Name)	:	JULIA TROMBLAY

Provider Business Mailing Address
First Line	:	3600 STERLING PARK CIRCLE #D
Second Line	:
City	:	GROVE CITY
State	:	OH
Zip	:	43123
Country	:	US
Telephone Number	:	614-907-3858
Fax Number	:

Provider Business Practice Location Address
First Line	:	3600 STERLING PARK CIR APT D
Second Line	:
City	:	GROVE CITY
State	:	OH
Zip	:	43123-3972
Country	:	US
Telephone Number	:	614-907-3858
Fax Number	:

Authorized Official
Title or Position	:
Name	:
Credential	:
Telephone Number	:

Provider Enumeration Date	:	05/17/2016
Last Update Date	:	05/17/2016

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Directions to “ JULIA TROMBLAY ” Practice Location

Language	Start Address	Practice Location

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