Provider Demographics
NPI:1831608439
Name:JEAN, JULIE MICHELLE (MS,CF-SLP)
Entity type:Individual
Prefix:
First Name:JULIE
Middle Name:MICHELLE
Last Name:JEAN
Suffix:
Gender:F
Credentials:MS,CF-SLP
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:886 NAUGHER RD
Mailing Address - Street 2:
Mailing Address - City:HUNTSVILLE
Mailing Address - State:AL
Mailing Address - Zip Code:35811-9430
Mailing Address - Country:US
Mailing Address - Phone:256-653-5832
Mailing Address - Fax:
Practice Address - Street 1:4900 UNIVERSITY SQ
Practice Address - Street 2:
Practice Address - City:HUNTSVILLE
Practice Address - State:AL
Practice Address - Zip Code:35816-1829
Practice Address - Country:US
Practice Address - Phone:256-837-2470
Practice Address - Fax:
Is Sole Proprietor?:No
Enumeration Date:2017-09-26
Last Update Date:2017-09-26
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes390200000XStudent, Health CareStudent in an Organized Health Care Education/Training Program