MEDICARE: JULIE NAU

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	10820	OH

General Provider Information

NPI Number	:	1780122929
Entity Type Code	:	Individual
Provider Name (Legal Business Name)	:	JULIE NAU

Provider Business Mailing Address
First Line	:	741 REDWOOD VALLEY DR
Second Line	:
City	:	BLACKLICK
State	:	OH
Zip	:	43004-8830
Country	:	US
Telephone Number	:
Fax Number	:

Provider Business Practice Location Address
First Line	:	741 REDWOOD VALLEY DR
Second Line	:
City	:	BLACKLICK
State	:	OH
Zip	:	43004-8830
Country	:	US
Telephone Number	:	304-830-0607
Fax Number	:

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

Provider Enumeration Date	:	02/08/2017
Last Update Date	:	02/08/2017

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Directions to “ JULIE NAU ” Practice Location

Language	Start Address	Practice Location

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