Provider Demographics
NPI:1780978510
Name:SEGARS, JULIE J (SLP)
Entity type:Individual
Prefix:
First Name:JULIE
Middle Name:J
Last Name:SEGARS
Suffix:
Gender:F
Credentials:SLP
Other - Prefix:
Other - First Name:JULIA
Other - Middle Name:
Other - Last Name:SEGARS
Other - Suffix:
Other - Last Name Type:Other Name
Other - Credentials:
Mailing Address - Street 1:2222 SULLIVAN TRL
Mailing Address - Street 2:
Mailing Address - City:EASTON
Mailing Address - State:PA
Mailing Address - Zip Code:18040-7958
Mailing Address - Country:US
Mailing Address - Phone:610-991-2034
Mailing Address - Fax:610-438-2046
Practice Address - Street 1:1560 THORNBLADE BLVD
Practice Address - Street 2:
Practice Address - City:GREER
Practice Address - State:SC
Practice Address - Zip Code:29650-4520
Practice Address - Country:US
Practice Address - Phone:864-968-1277
Practice Address - Fax:864-968-1279
Is Sole Proprietor?:No
Enumeration Date:2011-06-09
Last Update Date:2024-08-26
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
SC3176235Z00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes235Z00000XSpeech, Language and Hearing Service ProvidersSpeech-Language Pathologist