Healthcare Provider Details

I. General information

NPI: 1699845396
Provider Name (Legal Business Name): JULIE ANN GUTHRIE MD
Entity Type: Individual
Gender: Female
Sole Proprietor: N

II. Dates (important events)

Enumeration Date: 11/09/2006
Last Update Date: 01/12/2024
Certification Date: 01/12/2024
Deactivation Date:
Reactivation Date:

III. Provider practice location address

2000 HENDERSON RD STE 325
COLUMBUS OH
43220-2466
US

IV. Provider business mailing address

2000 HENDERSON RD STE 325
COLUMBUS OH
43220-2466
US

V. Phone/Fax

Practice location:
  • Phone: 614-538-8300
  • Fax: 614-538-1656
Mailing address:
  • Phone: 614-538-8300
  • Fax: 614-538-1656

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code2084P0800X
TaxonomyPsychiatry Physician
License Number35059239
License Number StateOH

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: