Provider records sourced from NPPES (CMS National Plan & Provider Enumeration System). Data current as of August 10, 2026.
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Julia Eden Dietsche Im

Individual provider Speech-Language Pathologist · NPI 1992470413

Julia Eden Dietsche Im is a Qualified Speech Language Pathologist in Holly Springs, North Carolina. Qualified in 2024, 2 years ago. Practices as a sole proprietor. Licensed in North Carolina.

Years since qualifying
2
Licensed in
NC
In the registry since
2021
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Practice location Address checks out

600A Village Walk Dr
Holly Springs, NC 27540-4438
Phone: (919) 285-2157
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Pin is approximate — placed at the ZIP-code centre, not the exact door.

Specialties & licences

Speech-Language Pathologist (primary) Taxonomy 235Z00000X · Licence 30003874 (NC)

Record details

NPI number1992470413
Entity typeIndividual (Type 1)
GenderFemale
Sole proprietorYes
NPI enumeratedAugust 16, 2021
Last updated in NPPESApril 24, 2025
Certification dateApril 24, 2025

Medicare enrollment

From the CMS Doctors & Clinicians file — this clinician is enrolled in Medicare.

Medicare specialtyQUALIFIED SPEECH LANGUAGE PATHOLOGIST
Medical schoolOTHER
Graduated 2024 (2 years in practice)
Accepts Medicare assignment Not indicated
Practice locations2 on file with Medicare

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