Provider Demographics
NPI:1730631755
Name:KRIVOLAPOVA, JULIE (MS SLP-CCC)
Entity type:Individual
Prefix:
First Name:JULIE
Middle Name:
Last Name:KRIVOLAPOVA
Suffix:
Gender:F
Credentials:MS SLP-CCC
Other - Prefix:
Other - First Name:YULIYA
Other - Middle Name:
Other - Last Name:KRIVOLAPOVA
Other - Suffix:
Other - Last Name Type:Former Name
Other - Credentials:
Mailing Address - Street 1:3633 MARKET PL W
Mailing Address - Street 2:APT 409
Mailing Address - City:UNIVERSITY PLACE
Mailing Address - State:WA
Mailing Address - Zip Code:98466-4489
Mailing Address - Country:US
Mailing Address - Phone:503-309-3602
Mailing Address - Fax:
Practice Address - Street 1:3633 MARKET PL W
Practice Address - Street 2:APT 409
Practice Address - City:UNIVERSITY PLACE
Practice Address - State:WA
Practice Address - Zip Code:98466-4489
Practice Address - Country:US
Practice Address - Phone:503-309-3602
Practice Address - Fax:
Is Sole Proprietor?:No
Enumeration Date:2016-10-25
Last Update Date:2016-10-25
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
WALL 60691092235Z00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes235Z00000XSpeech, Language and Hearing Service ProvidersSpeech-Language Pathologist