Basic Information
Provider Information
NPI: 1306017686
EntityType: 1
ReplacementNPI:  
OrganizationName:  
LastName: PALAZZOLO
FirstName: JULIE
MiddleName: A
NamePrefix: MRS.
NameSuffix:  
Credential: M.A., CCC-A
OtherOrganizationName:  
OtherOrganizationType:  
OtherLastName:  
OtherFirstName:  
OtherMiddleName:  
OtherNamePrefix:  
OtherNameSuffix:  
OtherCredential:  
OtherLastNameType:  
Mailing Information
Address1: 256C 10TH AVE NE
Address2: CAROLINA ENT/HNSC PA
City: HICKORY
State: NC
PostalCode: 28601
CountryCode: US
TelephoneNumber: 8283222183
FaxNumber: 8283227279
Practice Location
Address1: 114 GATEWAY BLVD SUITE B
Address2: CAROLINA ENT/HNSC PA
City: MOORESVILLE
State: NC
PostalCode: 28117
CountryCode: US
TelephoneNumber: 7046580720
FaxNumber: 7046630382
Other Information
ProviderEnumerationDate: 03/14/2008
LastUpdateDate: 03/14/2008
NPIDeactivationReasonCode:  
NPIDeactivationDate:  
NPIReactivationDate:  
ProviderGenderCode: F
AuthorizedOfficialLastName:  
AuthorizedOfficialFirstName:  
AuthorizedOfficialMiddleName:  
AuthorizedOfficialTitleorPosition:  
AuthorizedOfficialTelephone:  
IsSoleProprietor: N
IsOrganizationSubpart:  
ParentOrganizationLBN:  
AuthorizedOfficialNamePrefix:  
AuthorizedOfficialNameSuffix:  
AuthorizedOfficialCredential:  
NPICertificationDate:  

Taxonomy Information
TaxonomyLicenseStateSwitchTaxonomyGroupTaxonomyTypeTaxonomyClassSubSpecialty
231H00000X6793NCY Speech, Language and Hearing Service ProvidersAudiologist 

No ID Information.


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