Healthcare Provider Details

I. General information

NPI: 1255247086
Provider Name (Legal Business Name): JULIA LAWHEAD
Entity Type: Individual
Gender: Female
Sole Proprietor: Y

II. Dates (important events)

Enumeration Date: 08/21/2026
Last Update Date: 08/21/2026
Certification Date: 08/21/2026
Deactivation Date:
Reactivation Date:

III. Provider practice location address

3850 VIRGINIA CT
CINCINNATI OH
45248-3212
US

IV. Provider business mailing address

3850 VIRGINIA CT
CINCINNATI OH
45248-3212
US

V. Phone/Fax

Practice location:
  • Phone: 513-574-1100
  • Fax:
Mailing address:
  • Phone:
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code103TS0200X
TaxonomySchool Psychologist
License NumberLSP.03052
License Number StateOH

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: