Provider Demographics
NPI:1730158221
Name:WILLIAMS, JULIE BUDRZYSKY (MA,, CCC-SLP)
Entity type:Individual
Prefix:MRS
First Name:JULIE
Middle Name:BUDRZYSKY
Last Name:WILLIAMS
Suffix:
Gender:F
Credentials:MA,, CCC-SLP
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
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Other - Credentials:
Mailing Address - Street 1:302 CRESTWOOD DR
Mailing Address - Street 2:
Mailing Address - City:WOODLAND PARK
Mailing Address - State:CO
Mailing Address - Zip Code:80863-8391
Mailing Address - Country:US
Mailing Address - Phone:719-687-8727
Mailing Address - Fax:719-686-0123
Practice Address - Street 1:302 CRESTWOOD DR
Practice Address - Street 2:
Practice Address - City:WOODLAND PARK
Practice Address - State:CO
Practice Address - Zip Code:80863-8391
Practice Address - Country:US
Practice Address - Phone:719-687-8727
Practice Address - Fax:719-686-0123
Is Sole Proprietor?:Not Answered
Enumeration Date:2006-03-16
Last Update Date:2007-07-09
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes235Z00000XSpeech, Language and Hearing Service ProvidersSpeech-Language Pathologist
Provider Identifiers
StateIdentifier IDID TypeIssuer
CO55670032Medicaid