Doctor Name: | JULIE ANN AMAN |
NPI Number: | 1023430030 |
Entity Type Code: | Individual (1) |
Gender: | F |
Credentials: | OTR/L |
License Number: | 695 |
Business Practice Address: | 311 N 11th St Bismarck, ND - 585014539 |
Business Phone Number: | 7015307256 |
Business Fax Number: | 7015307257 |
Mailing Address: | 1924 N 16th St Unit 4, BISMARCK |
State: | ND |
Postal Code: | 585012061 |
Phone Number: | 7014002378 |
Fax Number: | |
NPI Enumeration Date: | 01/09/2014 |
NPI Last Update Date: | 01/09/2014 |
Replacement NPI: | 0 |
NPI Deactivation Date: | |
NPI Reactivation Date: |
Taxonomy Information: | |
Healthcare Provider Taxonomy: | 101YM0800X |
License Number: | 695 |
Healthcare Provider Taxonomy: (Secondary) | Y |
State: | ND |
Taxonomy Type: | Behavioral Health & Social Service Providers |
Taxonomy Classification: | Counselor |
Taxonomy Specialization: | Mental Health |
Taxonomy Definition: |