Julie Ann Whitehead, MS, CCC/SLP, L
NPI 1760786669ActiveIndividual· Speech-Language Pathologist· Twin Falls, ID
Speech-Language Pathologist (MS, CCC/SLP, L) with Primary Therapy Source LLC, practicing in Twin Falls, Idaho. Enrolled in Medicare as practitioner - qualified speech language pathologist.
Overview
| NPI | 1760786669 |
|---|---|
| Status | Active |
| Entity type | Individual |
| Credential | MS, CCC/SLP, L |
| Sole proprietor | Yes |
| NPI issued | Jan 6, 2011 |
| Last updated in NPPES | Jan 6, 2011 |
Specialties and licenses
| Taxonomy | Code | License | State |
|---|---|---|---|
| Speech-Language Pathologist Primary | 235Z00000X | SLP-1507 | ID |
Exclusion screening
| List | Result | Details |
|---|---|---|
| HHS-OIG LEIE · Nov 10, 2026 | No match | Checked by NPI and by name + state |
| North Carolina Medicaid · Nov 11, 2026 | No match | — |
| New York OMIG · Nov 11, 2026 | No match | — |
| Ohio Medicaid · Nov 11, 2026 | No match | — |
| Pennsylvania Medicheck · Nov 11, 2026 | No match | — |
| Washington HCA · Nov 11, 2026 | No match | — |
Official OIG search · How matching works ·Bulk check a roster
Medicare
| Enrollment (PECOS) | Enrolled Practitioner - Qualified Speech Language Pathologist (ID) |
|---|
Education and affiliations
| Graduation year | 1993 |
|---|---|
| Medicare specialty | Qualified Speech Language Pathologist |
Medical group
- Primary Therapy Source LLCBurley, ID · 6 clinicians
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All 70 speech-language pathologists in Twin Falls · All speech-language pathologists in Idaho