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General NPI Number Information
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NPI Number | 1194942136
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Entity Type | Individual
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Provider Name | JULIA HAJIBRAHIM MD
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Gender | Female
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Dates
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Enumeration Date | 04/19/2007
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Last Update Date | 05/16/2024
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Provider Practice Location Address
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Address Line | 5585 ERINDALE DR STE 203
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City | COLORADO SPRINGS
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State | CO
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Zip | 80918-6969
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Country | US
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Telephone | 719-755-4190
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Fax |
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Provider Business Mailing Address
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Address Line | 19368 QUEENS CRESCENT WAY
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City | MONUMENT
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State | CO
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Zip | 80132-8413
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Country | US
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Telephone | 352-318-9247
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Fax |
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Authorized Official
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Title or Position |
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Name |
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Credential |
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Telephone |
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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Taxonomy Code | 2084P0800X
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Taxonomy Name | Psychiatry Physician
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License Number | DR.0059204
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License Number State | CO
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