Healthcare Provider Details

I. General information

NPI: 1700302601
Provider Name (Legal Business Name): JULIA BERNARDS PHD, LMFT
Entity Type: Individual
Gender: Female
Sole Proprietor: N

II. Dates (important events)

Enumeration Date: 08/22/2017
Last Update Date: 03/12/2026
Certification Date: 03/12/2026
Deactivation Date:
Reactivation Date:

III. Provider practice location address

1422 E 820 N
OREM UT
84097-5481
US

IV. Provider business mailing address

950 WINDY RD STE 305
APEX NC
27502-2513
US

V. Phone/Fax

Practice location:
  • Phone: 385-309-1038
  • Fax:
Mailing address:
  • Phone:
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code106H00000X
TaxonomyMarriage & Family Therapist
License Number10450487-3904
License Number StateUT

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: