Doctor Name: | DR. JULIA LOU |
NPI Number: | 1588875868 |
Entity Type Code: | Individual (1) |
Gender: | F |
Credentials: | PHD |
License Number: | 32559 |
Business Practice Address: | 902 Crystal Falls Pkwy Leander, TX - 786413646 |
Business Phone Number: | 5122601299 |
Business Fax Number: | 5122501769 |
Mailing Address: | 2051 Cypress Creek Rd, Suite M CEDAR PARK |
State: | TX |
Postal Code: | 786133623 |
Phone Number: | 5125856934 |
Fax Number: | 5122501769 |
NPI Enumeration Date: | 05/25/2007 |
NPI Last Update Date: | 07/19/2007 |
Replacement NPI: | 0 |
NPI Deactivation Date: | |
NPI Reactivation Date: |
Taxonomy Information: | |
Healthcare Provider Taxonomy: | 103TC0700X |
License Number: | 32559 |
Healthcare Provider Taxonomy: (Secondary) | Y |
State: | TX |
Taxonomy Type: | Behavioral Health & Social Service Providers |
Taxonomy Classification: | Psychologist |
Taxonomy Specialization: | Clinical |
Taxonomy Definition: |