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NPI Code Detail

MEDICARE: JULIE ELIZABETH ROCKEFELLER M.S. CCC-SLP

MEDICARE:   JULIE ELIZABETH ROCKEFELLER  M.S. CCC-SLP
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 Pathologist6665NC

General Provider Information

NPI Number : 1184811663
Entity Type Code : Individual
Provider Name (Legal Business Name) : JULIE ELIZABETH ROCKEFELLER M.S. CCC-SLP
Provider Business Mailing Address
First Line : 4102 N ROXBORO ST
Second Line :
City : DURHAM
State : NC
Zip : 27704-2122
Country : US
Telephone Number : 919-595-2000
Fax Number : 919-595-2190
Provider Business Practice Location Address
First Line : 1110 SE CARY PKWY
Second Line :
City : CARY
State : NC
Zip : 27518-7420
Country : US
Telephone Number : 919-595-2000
Fax Number : 919-595-2190
Authorized Official
Title or Position :
Name :
Credential :
Telephone Number :
Provider Enumeration Date : 09/28/2007
Last Update Date : 02/12/2015

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Directions to “ JULIE ELIZABETH ROCKEFELLER M.S. CCC-SLP” Practice Location

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