Provider records sourced from NPPES (CMS National Plan & Provider Enumeration System). Data current as of August 10, 2026.
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Mrs. Julie Ann Whitehead, MS, CCC/SLP, L

Individual provider Speech-Language Pathologist · NPI 1760786669

Mrs. Julie Ann Whitehead, MS, CCC/SLP, L is a Qualified Speech Language Pathologist in Twin Falls, Idaho. Qualified in 1993, 33 years ago. Practices with Primary Therapy Source, LLC, a 6-clinician group and accepts Medicare assignment. Licensed in Idaho.

Years since qualifying
33
Licensed in
ID
In the registry since
2011
What do these letters mean?
MS — Master of Science
A graduate science degree.

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Practice location Address checks out

475 Mahard Dr
Twin Falls, ID 83301-0275
Phone: (208) 969-0987
Fax: (208) 735-9022
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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 SLP-1507 (ID)

Record details

NPI number1760786669
Entity typeIndividual (Type 1)
GenderFemale
Credentials MS , CCC/SLP , L
Sole proprietorYes
NPI enumeratedJanuary 6, 2011
Last updated in NPPESJanuary 6, 2011

Medicare enrollment

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

Medicare specialtyQUALIFIED SPEECH LANGUAGE PATHOLOGIST
Medical schoolOTHER
Graduated 1993 (33 years in practice)
Group practice Primary Therapy Source, Llc — 6 clinicians
Accepts Medicare assignment Yes — accepts the Medicare-approved amount

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