Most Relevant Information
Provider Data
| NPI Number: | 1003438045 |
| Provider Name: | JULIA PORTER MSP, CCC-SLP |
| Entity Type: | Individual |
| Taxonomy Code: | 235Z00000X |
| Specialty: | Speech-Language Pathologist |
| License Number: | 22006450A |
Most Important Dates
| Enumeration Date: | 05/13/2020 |
| Last Updated: | 06/16/2020 |
Provider Practice Location
8111 S EMERSON AVE
INDIANAPOLIS
IN
462378601
Practice Location Phone/Fax
| Phone: | 3175288111 |
| Fax: |
Provider Mailing Location
8111 S EMERSON AVE
INDIANAPOLIS
IN
462378601
Provider Mailing Phone/Fax
| Phone: | 3175288111 |
| Fax: |