Provider Demographics
NPI:1902111453
Name:SCHWARZ, JULIE A (CCC-SLP)
Entity Type:Individual
Prefix:MRS
First Name:JULIE
Middle Name:A
Last Name:SCHWARZ
Suffix:
Gender:F
Credentials:CCC-SLP
Other - Prefix:
Other - First Name:JULIE
Other - Middle Name:A
Other - Last Name:KAELTER
Other - Suffix:
Other - Last Name Type:Former Name
Other - Credentials:CCC-SLP
Mailing Address - Street 1:2163 W FERREL DR
Mailing Address - Street 2:
Mailing Address - City:OLATHE
Mailing Address - State:KS
Mailing Address - Zip Code:66061-6024
Mailing Address - Country:US
Mailing Address - Phone:913-221-6006
Mailing Address - Fax:
Practice Address - Street 1:2163 W FERREL DR
Practice Address - Street 2:
Practice Address - City:OLATHE
Practice Address - State:KS
Practice Address - Zip Code:66061-6024
Practice Address - Country:US
Practice Address - Phone:913-221-6006
Practice Address - Fax:
Is Sole Proprietor?:Yes
Enumeration Date:2010-08-09
Last Update Date:2010-08-09
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
KS2794235Z00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes235Z00000XSpeech, Language and Hearing Service ProvidersSpeech-Language Pathologist