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NPI Code Detail

MEDICARE: DR. JULIA LOU PHD

MEDICARE: DR. JULIA LOU PHD
Medicare Provider Information

Scope of Practice

The following information about the specialty of the provider is available:

# Taxonomy Code Taxonomy License Number License Number State
1103TC0700XClinical Psychologist32559TX

General Provider Information

NPI Number : 1588875868
Entity Type Code : Individual
Provider Name (Legal Business Name) : DR. JULIA LOU PHD
Provider Business Mailing Address
First Line : 2051 CYPRESS CREEK RD
Second Line : SUITE M
City : CEDAR PARK
State : TX
Zip : 78613-3623
Country : US
Telephone Number : 512-585-6934
Fax Number : 512-250-1769
Provider Business Practice Location Address
First Line : 902 CRYSTAL FALLS PKWY
Second Line :
City : LEANDER
State : TX
Zip : 78641-3646
Country : US
Telephone Number : 512-260-1299
Fax Number : 512-250-1769
Authorized Official
Title or Position :
Name :
Credential :
Telephone Number :
Provider Enumeration Date : 05/25/2007
Last Update Date : 07/19/2007

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