| Doctor Name: | JULIE ANN BUSH |
| NPI Number: | 1154604296 |
| Entity Type Code: | Individual (1) |
| Gender: | F |
| Credentials: | M.S., CCC-SLP |
| License Number: | 106026 |
| Business Practice Address: | 4211 Gardendale St Ste. A200 San Antonio, TX - 782293180 |
| Business Phone Number: | 2106157837 |
| Business Fax Number: | |
| Mailing Address: | 11585 Alamo Ranch Pkwy, Apt. 16202 SAN ANTONIO |
| State: | TX |
| Postal Code: | 782536168 |
| Phone Number: | 2102436759 |
| Fax Number: | |
| NPI Enumeration Date: | 09/26/2011 |
| NPI Last Update Date: | 09/26/2011 |
| Replacement NPI: | 0 |
| NPI Deactivation Date: | |
| NPI Reactivation Date: |
Taxonomy Information: | |
| Healthcare Provider Taxonomy: | 235Z00000X |
| License Number: | 106026 |
| Healthcare Provider Taxonomy: (Secondary) | Y |
| State: | TX |
| 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 |