JULIET JADE BOURGEOIS-BERWYN


Address: 3530 Boone Trl, Fayetteville, NC 28306-2189
Phone: 9107480258

JULIET JADE BOURGEOIS-BERWYN (NPI# 1508418674) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).

Provider Overview

Nation Provider ID (NPI) 1508418674
Entity Type Individual
Full Name JULIET JADE BOURGEOIS-BERWYN
Other Name JULIET JADE BOURGEOIS
Credential MS, CCC-SLP
Practice Address 3530 Boone Trl
Fayetteville
NC 28306-2189
Mailing Address 8828 Gardenia Pl
Mebane
NC 27302-9885
Practice Telephone 9107480258
Enumeration Date 2019-07-09
Last Update Date 2019-07-09
Gender Code F
Is Sole Proprietor N

Taxonomy

Primary Taxonomy Code Classification License Number License State Taxonomy Group
Y 235Z00000X Speech-Language Pathologist 13684 NC Speech, Language and Hearing Service Providers

Provider Secondary Practice Location

Address Telephone Number Fax Number
1631 Midtown Pl, Raleigh, NC 276091300 5625476035

Office Location

Street Address 3530 BOONE TRL
City FAYETTEVILLE
State NC
Zip Code 28306-2189

Providers in the same location

NPI Name Taxonomy Address Enumeration
1902351067 Danielle Newcombe Specialist/Technologist 3530 Boone Trl, Fayetteville, NC 28306-2189 2016-08-18
1992330575 Carly Ellender Speech-Language Pathologist 3530 Boone Trl, Fayetteville, NC 28306-2189 2020-03-04
1891320479 Rebecca Hall Speech-Language Pathologist 3530 Boone Trl, Fayetteville, NC 28306-2189 2020-03-04
1902454507 Southeastern Motor and Sensory Specialists Physical Therapist 3530 Boone Trl, Fayetteville, NC 28306-2189 2019-08-28
1184127201 Josie Lynn Pettipiece Speech-Language Pathologist 3530 Boone Trl, Fayetteville, NC 28306-2189 2018-03-15
1740791326 Ashley Gutierrez Social Worker 3530 Boone Trl, Fayetteville, NC 28306-2189 2017-10-23

Providers in the same zip code

NPI Name Taxonomy Address Enumeration
1013539501 Lauren Lockhart Pharmacist 5106 Nc-87 #100, Fayetteville, NC 28306 2020-05-07
1528687472 Edutherapy Connection LLC Occupational Therapist 3518 Grenedine Dr, Fayetteville, NC 28306 2020-04-10
1245708213 Catherine H Cox Speech-Language Pathologist Southeastern Communication and Swallowing Specialists, 3530 Boone Trail, Fayetteville, NC 28306 2018-11-08
1720446776 Wal-mart Store East, Lp Technician/Technologist 2820 Gillespie St., Fayetteville, NC 28306 2016-02-05
1720460017 Sridhar Gottipati Pharmacist 10072 Southern Ave., Fayetteville, NC 28306 2015-06-23
1942687900 St Marys Hca of South Carolina Clinic/Center 2603 Cumberland Gap Drive, Suite 203, Fayetteville, NC 28306 2015-04-29
1649696204 Kathryn Dries Nurse Practitioner 7496 Rockfish Road, Fayetteville, NC 28306 2014-03-06
1508288218 Teresa Mcneill Residential Treatment Facility, Mental Retardation and/or Developmental Disabilities 3608 Pickerel St, Fayetteville, NC 28306 2014-01-15
1740535715 Harris Teeter, LLC Pharmacy 3050 Traemoor Village Dr, Fayetteville, NC 28306 2012-07-17
1184928848 Hanora Medical Center, Pllc Internal Medicine 2620 Owen Dr, Fayetteville, NC 28306 2011-01-10
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Taxonomy Information

Taxonomy Code 235Z00000X
Grouping Speech, Language and Hearing Service Providers
Classification Speech-Language Pathologist

Taxonomy Definition

The speech-language pathologist is the professional who engages in clinical services, prevention, advocacy, education, administration, and research in the areas of communication and swallowing across the life span from infancy through geriatrics. Speech-language pathologists address typical and atypical impairments and disorders related to communication and swallowing in the areas of speech sound production, resonance, voice, fluency, language (comprehension and expression), cognition, and feeding and swallowing.
Notes: "Scope of Practice in Speech-Language Pathology", American Speech-Language-Hearing Association, 2013.

Providers in the same taxonomy and city

NPI Name Taxonomy Address Enumeration
1033720297 Madeleine Caroline Montoya Speech-Language Pathologist 1830 Owen Dr Ste 103, Fayetteville, NC 28304-3412 2020-08-12
1215548623 Jasmine Nicole Nile Speech-Language Pathologist 106 S Duncan Ave, Fayetteville, AR 72701-5631 2020-08-11
1669096764 Babbling Bunch Speech Therapy LLC Speech-Language Pathologist 145 Pepperdine Way, Fayetteville, GA 30214-3666 2020-06-04
1598387037 Anne-ashley Hull Speech-Language Pathologist 12905 Randolph Road, Fayetteville, AR 72704 2020-05-07
1801436597 Ruhee Keshwani Speech-Language Pathologist 1343 N Leverett Ave Apt 9, Fayetteville, AR 72703-1756 2020-01-09
1265080121 Tempest Olivia Baker Speech-Language Pathologist 351 Wagoner Dr Ste 341, Fayetteville, NC 28303-4671 2019-09-03
1407403991 Jennifer Nicole Gunderson Speech-Language Pathologist Bayada, 3419a Melrose Rd., Fayetteville, NC 28306-2830 2019-08-20
1275191769 Lindsay Denise Richards Speech-Language Pathologist 3162 W Martin Luther King Blvd Ste 4, Fayetteville, AR 72704-7679 2019-05-30
1285290353 Affinity Therapy Services Speech-Language Pathologist 2755 Bardolino Dr, Fayetteville, NC 28306-4635 2019-05-14
1942766829 Speech Within Reach Speech-Language Pathologist 5594 Linkwood Dr, Fayetteville, NC 28311-0289 2019-02-15
Find all providers in FAYETTEVILLE

Competitor

Search similar providers

City FAYETTEVILLE
Zip Code 28306

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Dataset Information

Data Provider Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES)
Jurisdiction Medicare & Medicaid

This dataset includes 5.44 million covered health care providers and all health plans and health care clearinghouses, registered with CMA NPPES. Each provider is registered with National Provider Identifier (NPI), full name, status, address, taxonomy, other identifiers, etc.

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