Provider Demographics
NPI:1144369091
Name:HOBERT, JULIE G (SP)
Entity type:Individual
Prefix:
First Name:JULIE
Middle Name:G
Last Name:HOBERT
Suffix:
Gender:F
Credentials:SP
Other - Prefix:
Other - First Name:JULIE
Other - Middle Name:
Other - Last Name:GLOVER
Other - Suffix:
Other - Last Name Type:Former Name
Other - Credentials:SP
Mailing Address - Street 1:12860 HILLCREST RD
Mailing Address - Street 2:SUITE 217
Mailing Address - City:DALLAS
Mailing Address - State:TX
Mailing Address - Zip Code:75230-1530
Mailing Address - Country:US
Mailing Address - Phone:972-386-7086
Mailing Address - Fax:
Practice Address - Street 1:12860 HILLCREST RD
Practice Address - Street 2:SUITE 217
Practice Address - City:DALLAS
Practice Address - State:TX
Practice Address - Zip Code:75230-1530
Practice Address - Country:US
Practice Address - Phone:972-386-7086
Practice Address - Fax:
Is Sole Proprietor?:No
Enumeration Date:2007-02-06
Last Update Date:2007-07-08
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
TX15066235Z00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes235Z00000XSpeech, Language and Hearing Service ProvidersSpeech-Language Pathologist
Provider Identifiers
StateIdentifier IDID TypeIssuer
TX87394TOtherBCBS PROVIDER #