| Doctor Name: | JULIE DESAI |
| NPI Number: | 1053621409 |
| Entity Type Code: | Individual (1) |
| Gender: | F |
| Credentials: | |
| License Number: | 6301010179 |
| Business Practice Address: | 5465 Main St Sylvania, OH - 435602155 |
| Business Phone Number: | 4198858800 |
| Business Fax Number: | 4198858600 |
| Mailing Address: | 7012 Westwind Dr, SYLVANIA |
| State: | OH |
| Postal Code: | 435603286 |
| Phone Number: | |
| Fax Number: | |
| NPI Enumeration Date: | 10/19/2010 |
| NPI Last Update Date: | 10/19/2010 |
| Replacement NPI: | 0 |
| NPI Deactivation Date: | |
| NPI Reactivation Date: |
Taxonomy Information: | |
| Healthcare Provider Taxonomy: | 101YM0800X |
| License Number: | 6301010179 |
| Healthcare Provider Taxonomy: (Secondary) | Y |
| State: | MI |
| Taxonomy Type: | Behavioral Health & Social Service Providers |
| Taxonomy Classification: | Counselor |
| Taxonomy Specialization: | Mental Health |
| Taxonomy Definition: | |