| Doctor Name: | MS. JULIE ANNE BUDKE |
| NPI Number: | 1104172337 |
| Entity Type Code: | Individual (1) |
| Gender: | F |
| Credentials: | MS, CCC-SLP |
| License Number: | A-046-196 |
| Business Practice Address: | 3965 W 83rd Street Suite 233 Prairie Village, KS - 66208 |
| Business Phone Number: | 9137899170 |
| Business Fax Number: | 9137899170 |
| Mailing Address: | 3965 W 83rd Street Suite 233, PRAIRIE VILLAGE |
| State: | KS |
| Postal Code: | 66208 |
| Phone Number: | 9137899170 |
| Fax Number: | 9137899170 |
| NPI Enumeration Date: | 07/25/2012 |
| NPI Last Update Date: | 07/25/2012 |
| Replacement NPI: | 0 |
| NPI Deactivation Date: | |
| NPI Reactivation Date: |
Taxonomy Information: | |
| Healthcare Provider Taxonomy: | 103TR0400X |
| License Number: | A-046-196 |
| Healthcare Provider Taxonomy: (Secondary) | Y |
| State: | KS |
| Taxonomy Type: | Behavioral Health & Social Service Providers |
| Taxonomy Classification: | Psychologist |
| Taxonomy Specialization: | Rehabilitation |
| Taxonomy Definition: | |