Doctor Name: | MRS. JULIE ELIZABETH HOLMES SHAW |
NPI Number: | 1528295425 |
Entity Type Code: | Individual (1) |
Gender: | F |
Credentials: | M.A., SLP/CCC |
License Number: | SA10429 |
Business Practice Address: | 8333 Seminole Blvd Seminole, FL - 337724376 |
Business Phone Number: | 7273690240 |
Business Fax Number: | |
Mailing Address: | 8928 Oak St Ne, ST PETERSBURG |
State: | FL |
Postal Code: | 337023262 |
Phone Number: | 9134244330 |
Fax Number: | |
NPI Enumeration Date: | 06/18/2009 |
NPI Last Update Date: | 03/11/2011 |
Replacement NPI: | 0 |
NPI Deactivation Date: | |
NPI Reactivation Date: |
Taxonomy Information: | |
Healthcare Provider Taxonomy: | 235Z00000X |
License Number: | SA10429 |
Healthcare Provider Taxonomy: (Secondary) | Y |
State: | FL |
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 |