Provider Demographics
NPI:1679385686
Name:SARFATI, JULIE NICOLE (MS, CCC-SLP)
Entity type:Individual
Prefix:
First Name:JULIE
Middle Name:NICOLE
Last Name:SARFATI
Suffix:
Gender:F
Credentials:MS, CCC-SLP
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:7157 GRASSY BAY DR
Mailing Address - Street 2:
Mailing Address - City:WEST PALM BEACH
Mailing Address - State:FL
Mailing Address - Zip Code:33411-5726
Mailing Address - Country:US
Mailing Address - Phone:561-504-8778
Mailing Address - Fax:
Practice Address - Street 1:7157 GRASSY BAY DR
Practice Address - Street 2:
Practice Address - City:WEST PALM BEACH
Practice Address - State:FL
Practice Address - Zip Code:33411-5726
Practice Address - Country:US
Practice Address - Phone:561-504-8778
Practice Address - Fax:
Is Sole Proprietor?:Yes
Enumeration Date:2025-01-25
Last Update Date:2025-01-25
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
FLSA21115235Z00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes235Z00000XSpeech, Language and Hearing Service ProvidersSpeech-Language PathologistGroup - Single Specialty