Provider Demographics
NPI:1366137119
Name:CAMPBELL, JULIA (PHD, AUD)
Entity type:Individual
Prefix:DR
First Name:JULIA
Middle Name:
Last Name:CAMPBELL
Suffix:
Gender:F
Credentials:PHD, AUD
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:700 DREAM CATCHER DR
Mailing Address - Street 2:
Mailing Address - City:LEANDER
Mailing Address - State:TX
Mailing Address - Zip Code:78641-4416
Mailing Address - Country:US
Mailing Address - Phone:303-517-0395
Mailing Address - Fax:
Practice Address - Street 1:2504 WHITIS AVE # A
Practice Address - Street 2:
Practice Address - City:AUSTIN
Practice Address - State:TX
Practice Address - Zip Code:78712-1538
Practice Address - Country:US
Practice Address - Phone:512-471-3841
Practice Address - Fax:
Is Sole Proprietor?:No
Enumeration Date:2023-04-07
Last Update Date:2023-04-07
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
TX80822231H00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes231H00000XSpeech, Language and Hearing Service ProvidersAudiologist