Individual
DR. JULIE LYNN WAMBAUGH
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
CCC/SLP
Contact information
Practice address
500 FOOTHILL BLVD, 151 A, SALT LAKE CITY, UT 84148-0001
(801) 582-1565
Mailing address
8437 SUPERNAL WAY, SALT LAKE CITY, UT 84121-6070
(891) 582-1565
Taxonomy
Speciality
Code
Description
License number
State
235Z00000X
Speech-Language Pathologist
Primary
5371930-4102
UT
Other
Enumeration date
07/04/2006
Last updated
07/08/2007
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