Provider Demographics
NPI:1033427018
Name:REWKOWSKI, JULIE ANN (SLP)
Entity type:Individual
Prefix:MS
First Name:JULIE
Middle Name:ANN
Last Name:REWKOWSKI
Suffix:
Gender:F
Credentials:SLP
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:1156 LEVELS RD
Mailing Address - Street 2:
Mailing Address - City:MIDDLETOWN
Mailing Address - State:DE
Mailing Address - Zip Code:19709-7700
Mailing Address - Country:US
Mailing Address - Phone:302-376-5125
Mailing Address - Fax:
Practice Address - Street 1:1156 LEVELS RD
Practice Address - Street 2:
Practice Address - City:MIDDLETOWN
Practice Address - State:DE
Practice Address - Zip Code:19709-7700
Practice Address - Country:US
Practice Address - Phone:302-376-5125
Practice Address - Fax:
Is Sole Proprietor?:Yes
Enumeration Date:2010-09-23
Last Update Date:2025-12-15
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
NY019396-1235Z00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes235Z00000XSpeech, Language and Hearing Service ProvidersSpeech-Language Pathologist