MEDICARE: JULIE MICHELLE KRIZAY ED.S.

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
1	103TS0200X	School Psychologist	OH3056180	OH

General Provider Information

NPI Number	:	1144629395
Entity Type Code	:	Individual
Provider Name (Legal Business Name)	:	JULIE MICHELLE KRIZAY ED.S.

Provider Business Mailing Address
First Line	:	270 N SPRING RD
Second Line	:
City	:	WESTERVILLE
State	:	OH
Zip	:	43082-1888
Country	:	US
Telephone Number	:	614-797-7280
Fax Number	:

Provider Business Practice Location Address
First Line	:	270 N SPRING RD
Second Line	:
City	:	WESTERVILLE
State	:	OH
Zip	:	43082-1888
Country	:	US
Telephone Number	:	614-797-7280
Fax Number	:

Authorized Official
Title or Position	:
Name	:
Credential	:
Telephone Number	:

Provider Enumeration Date	:	08/13/2014
Last Update Date	:	08/13/2014

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