Individual
MRS. JULIANNE T PEARSON
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
MS, CCC-SLP
Contact information
Practice address
311 MAPLETON AVE, BOULDER, CO 80304-3979
(303) 441-2142
(303) 441-0536
Mailing address
311 MAPLETON AVE, PO BOX 9130, BOULDER, CO 80304-3979
(303) 441-2142
(303) 441-0536
Taxonomy
Speciality
Code
Description
License number
State
235Z00000X
Speech-Language Pathologist
Primary
12051817
—
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
12051817
ASHA NUMBER
—
Enumeration date
11/16/2009
Last updated
11/16/2009
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