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NPI Code Detail

MEDICARE: MS. JULIE ANN CRESWELL MA, CCC-SLP

MEDICARE: MS. JULIE ANN CRESWELL MA, 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 Pathologist104024TX

General Provider Information

NPI Number : 1578775524
Entity Type Code : Individual
Provider Name (Legal Business Name) : MS. JULIE ANN CRESWELL MA, CCC-SLP
Provider Business Mailing Address
First Line : 6005 WESTVIEW DRIVE
Second Line :
City : HOUSTON
State : TX
Zip : 77055
Country : US
Telephone Number : 713-696-2130
Fax Number : 713-696-2133
Provider Business Practice Location Address
First Line : 6005 WESTVIEW DRIVE
Second Line :
City : HOUSTON
State : TX
Zip : 77055
Country : US
Telephone Number : 713-696-2130
Fax Number : 713-696-2133
Authorized Official
Title or Position :
Name :
Credential :
Telephone Number :
Provider Enumeration Date : 05/03/2007
Last Update Date : 07/09/2014

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