Individual
MS. JULIA ELLEN RADEMACHER
Active
Sole proprietor
Provider details
NPI number
Gender
F
Credential
M.A., M.M., CCC-SLP
Contact information
Practice address
200 S JORDAN AVE, DEPARTMENT OF SPEECH AND HEARING SCIENCES, BLOOMINGTON, IN 47405-7002
(812) 856-4727
(812) 855-5561
Mailing address
200 S JORDAN AVE, DEPARTMENT OF SPEECH AND HEARING SCIENCES, BLOOMINGTON, IN 47405-7002
(812) 856-4727
(812) 855-5561
Taxonomy
Speciality
Code
Description
License number
State
235Z00000X
Speech-Language Pathologist
Primary
22003308A
IN
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
11512054
CAQH PROVIDER NUMBER
IN
Enumeration date
10/12/2005
Last updated
07/08/2007
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