National Provider Identifier
Julie Wade
Julie Wade is listed in the NPPES registry with a primary specialty of Speech-Language Pathologist in Derby, NY and a listed phone number of (724) 674-2873.
Profile Overview
- NPI
- 1386143295
- Provider Type
- Individual
- Primary Specialty
- Speech-Language Pathologist
- Enumeration Date
- February 06, 2018
- Last Updated
- February 06, 2018
Practice Location
- 7821 Erie RD
- Derby, NY 14047-9502
Phone: (724) 674-2873
Mailing Address
- 896 Lake St
- Angola, NY 14006-9281
Specialties
- Speech-Language Pathologist (235Z00000X)
Full Record
- NPI
- 1386143295
- Entity Type
- Individual
- Last Name
- Wade
- First Name
- Julie
- Mailing Street Address
- 896 Lake St
- Mailing City
- Angola
- Mailing State
- NY
- Mailing ZIP Code
- 14006-9281
- Mailing Country
- US
- Practice Street Address
- 7821 Erie RD
- Practice City
- Derby
- Practice State
- NY
- Practice ZIP Code
- 14047-9502
- Practice Country
- US
- Practice Phone
- (724) 674-2873
- Enumeration Date
- February 06, 2018
- Last Updated
- February 06, 2018
- Sex
- Female
- Sole Proprietor
- Yes
- updated_by_file
- npidata_pfile_20050523-20260308.csv
- Taxonomies
- Speech-Language Pathologist (235Z00000X)
- Other Identifiers
- 027186 (NY)