Provider Demographics
NPI:1144370123
Name:FURNEY, JULIE LYNN (SLP)
Entity type:Individual
Prefix:MRS
First Name:JULIE
Middle Name:LYNN
Last Name:FURNEY
Suffix:
Gender:F
Credentials:SLP
Other - Prefix:MISS
Other - First Name:JULIE
Other - Middle Name:LYNN
Other - Last Name:JOHNSON
Other - Suffix:
Other - Last Name Type:Former Name
Other - Credentials:MS CCCSLP
Mailing Address - Street 1:3133 TEAL TERRACE
Mailing Address - Street 2:
Mailing Address - City:SAFETY HARBOR
Mailing Address - State:FL
Mailing Address - Zip Code:34695-4945
Mailing Address - Country:US
Mailing Address - Phone:727-599-4740
Mailing Address - Fax:813-264-0768
Practice Address - Street 1:3133 TEAL TERRACE
Practice Address - Street 2:
Practice Address - City:SAFETY HARBOR
Practice Address - State:FL
Practice Address - Zip Code:34695-4945
Practice Address - Country:US
Practice Address - Phone:727-599-4740
Practice Address - Fax:813-264-0768
Is Sole Proprietor?:No
Enumeration Date:2007-01-11
Last Update Date:2011-03-29
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
FLSA5542235Z00000X
FL000532300222Q00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes235Z00000XSpeech, Language and Hearing Service ProvidersSpeech-Language Pathologist
No222Q00000XRespiratory, Developmental, Rehabilitative and Restorative Service ProvidersDevelopmental Therapist
Provider Identifiers
StateIdentifier IDID TypeIssuer
FL000532300Medicaid
FLS9271OtherBCBS
FL891516400Medicaid