Doctor Name: | JULIE FAIN DULIN |
NPI Number: | 1245445006 |
Entity Type Code: | Individual (1) |
Gender: | F |
Credentials: | CCC-SLP |
License Number: | 3061 |
Business Practice Address: | 4300 W Houston St Broken Arrow, OK - 740124519 |
Business Phone Number: | 9182499649 |
Business Fax Number: | |
Mailing Address: | 5428 E 19th St, TULSA |
State: | OK |
Postal Code: | 741126914 |
Phone Number: | 9187430440 |
Fax Number: | |
NPI Enumeration Date: | 05/14/2007 |
NPI Last Update Date: | 07/08/2007 |
Replacement NPI: | 0 |
NPI Deactivation Date: | |
NPI Reactivation Date: |
Taxonomy Information: | |
Healthcare Provider Taxonomy: | 235Z00000X |
License Number: | 3061 |
Healthcare Provider Taxonomy: (Secondary) | Y |
State: | OK |
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 |