MEDICARE: JULIE LYNN DOBSON LMHC

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	101YM0800X	Mental Health Counselor	MH0004336	FL

General Provider Information

NPI Number	:	1245247972
Entity Type Code	:	Individual
Provider Name (Legal Business Name)	:	JULIE LYNN DOBSON LMHC

Provider Business Mailing Address
First Line	:	18823 SW 92ND AVE
Second Line	:
City	:	MIAMI
State	:	FL
Zip	:	33157-7967
Country	:	US
Telephone Number	:	786-246-3836
Fax Number	:

Provider Business Practice Location Address
First Line	:	7765 SW 87TH AVE
Second Line	:	SUITE 104
City	:	MIAMI
State	:	FL
Zip	:	33173-2596
Country	:	US
Telephone Number	:	786-246-3836
Fax Number	:	305-412-8447

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

Provider Enumeration Date	:	08/02/2006
Last Update Date	:	07/08/2007

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