Provider Demographics
NPI:1902123086
Name:EYER, JULIA A (PHD)
Entity Type:Individual
Prefix:
First Name:JULIA
Middle Name:A
Last Name:EYER
Suffix:
Gender:F
Credentials:PHD
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:3308 BROADWAY ST
Mailing Address - Street 2:SUITE 301
Mailing Address - City:SAN ANTONIO
Mailing Address - State:TX
Mailing Address - Zip Code:78209-6546
Mailing Address - Country:US
Mailing Address - Phone:210-413-1369
Mailing Address - Fax:210-384-2562
Practice Address - Street 1:3308 BROADWAY ST
Practice Address - Street 2:SUITE 301
Practice Address - City:SAN ANTONIO
Practice Address - State:TX
Practice Address - Zip Code:78209-6546
Practice Address - Country:US
Practice Address - Phone:210-413-1369
Practice Address - Fax:210-384-2562
Is Sole Proprietor?:Yes
Enumeration Date:2010-04-28
Last Update Date:2010-04-28
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
TX16751235Z00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes235Z00000XSpeech, Language and Hearing Service ProvidersSpeech-Language Pathologist