Provider Demographics
NPI:1770100778
Name:JULIAO, MONIKA PATRICIA (MS-SLP)
Entity type:Individual
Prefix:
First Name:MONIKA
Middle Name:PATRICIA
Last Name:JULIAO
Suffix:
Gender:F
Credentials:MS-SLP
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:1335 NW 124TH AVE
Mailing Address - Street 2:
Mailing Address - City:PEMBROKE PINES
Mailing Address - State:FL
Mailing Address - Zip Code:33026-3846
Mailing Address - Country:US
Mailing Address - Phone:305-877-1513
Mailing Address - Fax:
Practice Address - Street 1:900 BAY DR APT 919
Practice Address - Street 2:
Practice Address - City:MIAMI BEACH
Practice Address - State:FL
Practice Address - Zip Code:33141-5672
Practice Address - Country:US
Practice Address - Phone:305-397-8993
Practice Address - Fax:305-763-8029
Is Sole Proprietor?:Yes
Enumeration Date:2020-06-25
Last Update Date:2025-01-06
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
FLSA19779235Z00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes235Z00000XSpeech, Language and Hearing Service ProvidersSpeech-Language Pathologist