Basic Information
| Provider Information | |||||||||
| NPI: | 1720647282 | ||||||||
| EntityType: | 1 | ||||||||
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| OrganizationName: | |||||||||
| LastName: | HIRN | ||||||||
| FirstName: | JULIANA | ||||||||
| MiddleName: | LYNN | ||||||||
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| Credential: | CCC-SLP | ||||||||
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| Mailing Information | |||||||||
| Address1: | 3349 STONEBRIDGE TRL | ||||||||
| Address2: | |||||||||
| City: | VALRICO | ||||||||
| State: | FL | ||||||||
| PostalCode: | 335969232 | ||||||||
| CountryCode: | US | ||||||||
| TelephoneNumber: | 1372720508 | ||||||||
| FaxNumber: | 8552328604 | ||||||||
| Practice Location | |||||||||
| Address1: | 3349 STONEBRIDGE TRL | ||||||||
| Address2: | |||||||||
| City: | VALRICO | ||||||||
| State: | FL | ||||||||
| PostalCode: | 335969232 | ||||||||
| CountryCode: | US | ||||||||
| TelephoneNumber: | 8137272050 | ||||||||
| FaxNumber: | 8552328604 | ||||||||
| Other Information | |||||||||
| ProviderEnumerationDate: | 06/10/2019 | ||||||||
| LastUpdateDate: | 10/16/2020 | ||||||||
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| ProviderGenderCode: | F | ||||||||
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| IsSoleProprietor: | N | ||||||||
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| NPICertificationDate: | 10/16/2020 | ||||||||
Taxonomy Information
| Taxonomy | License | State | Switch | TaxonomyGroup | TaxonomyType | TaxonomyClass | SubSpecialty | 235Z00000X | SP.13891 | OH | N | Speech, Language and Hearing Service Providers | Speech-Language Pathologist | 235Z00000X | SZ9054 | FL | N | Speech, Language and Hearing Service Providers | Speech-Language Pathologist | 235Z00000X | SLP011251 | GA | Y | Speech, Language and Hearing Service Providers | Speech-Language Pathologist |
No ID Information.