Doctor Name: | DR. BRIAN P JULA |
NPI Number: | 1033417977 |
Entity Type Code: | Individual (1) |
Gender: | M |
Credentials: | PSYD |
License Number: | 180007713 |
Business Practice Address: | 24 Joliet St Dyer, IN - 463111705 |
Business Phone Number: | 2193225747 |
Business Fax Number: | 2198642282 |
Mailing Address: | 1040 Sierra Drive, Suite 400 GREENWOOD |
State: | IN |
Postal Code: | 461437241 |
Phone Number: | 3175284886 |
Fax Number: | 3178598239 |
NPI Enumeration Date: | 03/01/2011 |
NPI Last Update Date: | 06/20/2013 |
Replacement NPI: | 0 |
NPI Deactivation Date: | |
NPI Reactivation Date: |
Taxonomy Information: | |
Healthcare Provider Taxonomy: | 101YP2500X |
License Number: | 180007713 |
Healthcare Provider Taxonomy: (Secondary) | N |
State: | IL |
Taxonomy Type: | Behavioral Health & Social Service Providers |
Taxonomy Classification: | Counselor |
Taxonomy Specialization: | Professional |
Taxonomy Definition: |