Provider Demographics
NPI:1407748932
Name:ROSE, JULIA ELAINE MADDEN (AUD)
Entity type:Individual
Prefix:DR
First Name:JULIA
Middle Name:ELAINE MADDEN
Last Name:ROSE
Suffix:
Gender:F
Credentials:AUD
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:1007 SCOTT AVE
Mailing Address - Street 2:
Mailing Address - City:ROCKVILLE
Mailing Address - State:MD
Mailing Address - Zip Code:20851-1020
Mailing Address - Country:US
Mailing Address - Phone:248-762-6856
Mailing Address - Fax:
Practice Address - Street 1:15204 OMEGA DR STE 310
Practice Address - Street 2:
Practice Address - City:ROCKVILLE
Practice Address - State:MD
Practice Address - Zip Code:20850-4816
Practice Address - Country:US
Practice Address - Phone:240-361-9000
Practice Address - Fax:240-361-9001
Is Sole Proprietor?:No
Enumeration Date:2025-07-18
Last Update Date:2025-07-18
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
MD01681231H00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes231H00000XSpeech, Language and Hearing Service ProvidersAudiologist