| Doctor Name: | JULIE ANN BOL |
| NPI Number: | 1194090332 |
| Entity Type Code: | Individual (1) |
| Gender: | F |
| Credentials: | CCC-SLP |
| License Number: | 12038548 |
| Business Practice Address: | 6376 Quail Run Dr Kalamazoo, MI - 490092811 |
| Business Phone Number: | 2695443764 |
| Business Fax Number: | 2695443767 |
| Mailing Address: | 3237 Old Colony Rd, KALAMAZOO |
| State: | MI |
| Postal Code: | 490084915 |
| Phone Number: | 2698706459 |
| Fax Number: | 2699788916 |
| NPI Enumeration Date: | 03/21/2012 |
| NPI Last Update Date: | 06/22/2012 |
| Replacement NPI: | 0 |
| NPI Deactivation Date: | |
| NPI Reactivation Date: |
Taxonomy Information: | |
| Healthcare Provider Taxonomy: | 235Z00000X |
| License Number: | 12038548 |
| Healthcare Provider Taxonomy: (Secondary) | Y |
| State: | MI |
| 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 |