Provider Demographics
NPI:1861538506
Name:DELANEY, JULIE MARIE (MHS, SLP-CF)
Entity type:Individual
Prefix:MRS
First Name:JULIE
Middle Name:MARIE
Last Name:DELANEY
Suffix:
Gender:F
Credentials:MHS, SLP-CF
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:11520 ABBEY RD
Mailing Address - Street 2:
Mailing Address - City:MOKENA
Mailing Address - State:IL
Mailing Address - Zip Code:60448-1477
Mailing Address - Country:US
Mailing Address - Phone:815-469-2516
Mailing Address - Fax:815-469-2516
Practice Address - Street 1:11520 ABBEY RD
Practice Address - Street 2:
Practice Address - City:MOKENA
Practice Address - State:IL
Practice Address - Zip Code:60448-1477
Practice Address - Country:US
Practice Address - Phone:815-469-2516
Practice Address - Fax:815-469-2516
Is Sole Proprietor?:Yes
Enumeration Date:2007-01-29
Last Update Date:2009-01-14
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
IL146009662235Z00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes235Z00000XSpeech, Language and Hearing Service ProvidersSpeech-Language Pathologist