| Doctor Name: | DR. JULIE ESCHENLAUER |
| NPI Number: | 1164728176 |
| Entity Type Code: | Individual (1) |
| Gender: | F |
| Credentials: | PSY.D. |
| License Number: | LP4798 |
| Business Practice Address: | 1068 Lake St S Suite 12 Forest Lake, MN - 550252639 |
| Business Phone Number: | 7634129724 |
| Business Fax Number: | |
| Mailing Address: | 9785 Xebec St Ne, CIRCLE PINES |
| State: | MN |
| Postal Code: | 550142508 |
| Phone Number: | 7634129724 |
| Fax Number: | |
| NPI Enumeration Date: | 02/08/2011 |
| NPI Last Update Date: | 02/08/2011 |
| Replacement NPI: | 0 |
| NPI Deactivation Date: | |
| NPI Reactivation Date: |
Taxonomy Information: | |
| Healthcare Provider Taxonomy: | 103TC0700X |
| License Number: | LP4798 |
| Healthcare Provider Taxonomy: (Secondary) | Y |
| State: | MN |
| Taxonomy Type: | Behavioral Health & Social Service Providers |
| Taxonomy Classification: | Psychologist |
| Taxonomy Specialization: | Clinical |
| Taxonomy Definition: | |