MEDICARE: JULIANNA PATRICK

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	SL016094	PA
2	235Z00000X	Speech-Language Pathologist	SP.13552	OH

General Provider Information

NPI Number	:	1215562426
Entity Type Code	:	Individual
Provider Name (Legal Business Name)	:	JULIANNA PATRICK

Provider Business Mailing Address
First Line	:	8056 EASTBROOKE TRL
Second Line	:
City	:	POLAND
State	:	OH
Zip	:	44514-5366
Country	:	US
Telephone Number	:
Fax Number	:

Provider Business Practice Location Address
First Line	:	3180 BELMONT AVE
Second Line	:
City	:	YOUNGSTOWN
State	:	OH
Zip	:	44505-1802
Country	:	US
Telephone Number	:	234-264-8500
Fax Number	:

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

Provider Enumeration Date	:	03/08/2020
Last Update Date	:	06/18/2025

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Directions to “ JULIANNA PATRICK ” Practice Location

Language	Start Address	Practice Location

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