Doctor Name: | JULIA DUNGAN |
NPI Number: | 1073654885 |
Entity Type Code: | Individual (1) |
Gender: | F |
Credentials: | MA, CCC, SLP |
License Number: | 2560 |
Business Practice Address: | 1456 Kingsley Dr Shiloh, IL - 622697253 |
Business Phone Number: | 2173705624 |
Business Fax Number: | 8886274177 |
Mailing Address: | 1456 Kingsley Dr, SHILOH |
State: | IL |
Postal Code: | 622697253 |
Phone Number: | 2173705624 |
Fax Number: | 8886274177 |
NPI Enumeration Date: | 02/12/2007 |
NPI Last Update Date: | 09/19/2014 |
Replacement NPI: | 0 |
NPI Deactivation Date: | |
NPI Reactivation Date: |
Taxonomy Information: | |
Healthcare Provider Taxonomy: | 235Z00000X |
License Number: | 2560 |
Healthcare Provider Taxonomy: (Secondary) | N |
State: | AL |
Taxonomy Type: | Speech, Language and Hearing Service Providers |
Taxonomy Classification: | Speech-Language Pathologist |
Taxonomy Specialization: | |
Taxonomy Definition: | A speech pathologist is a person qualified by a master |