Individual
MS. JULIE ANNE FONTECCHIO
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
MS, CCC-SLP
Contact information
Practice address
754 MAYS BLVD STE 11, INCLINE VILLAGE, NV 89451-9633
(530) 545-2401
Mailing address
754 MAYS BLVD STE 11, INCLINE VILLAGE, NV 89451-9633
(530) 545-2401
Taxonomy
Speciality
Code
Description
License number
State
235Z00000X
Speech-Language Pathologist
Primary
NV636
NV
Other
Enumeration date
06/21/2017
Last updated
07/21/2022
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