Individual
JULIA O'CONNOR
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
ST
Contact information
Practice address
4104 LAMBETH DR, RALEIGH, NC 27609-5800
(919) 781-5728
(919) 781-5744
Mailing address
4104 LAMBETH DR, RALEIGH, NC 27609-5800
(919) 781-5728
(919) 781-5744
Taxonomy
Speciality
Code
Description
License number
State
235Z00000X
Speech-Language Pathologist
Primary
—
—
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
12431
BCBS GROUP
NC
05
—
7411565
—
NC
Enumeration date
06/09/2006
Last updated
01/31/2008
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