MEDICARE: JULIA MARCUS PAUL

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	106H00000X	Marriage & Family Therapist

General Provider Information

NPI Number	:	1659068906
Entity Type Code	:	Individual
Provider Name (Legal Business Name)	:	JULIA MARCUS PAUL

Provider Business Mailing Address
First Line	:	7914 NORTON AVE APT 101
Second Line	:
City	:	WEST HOLLYWOOD
State	:	CA
Zip	:	90046-5680
Country	:	US
Telephone Number	:	610-213-8800
Fax Number	:

Provider Business Practice Location Address
First Line	:	7914 NORTON AVE APT 101
Second Line	:
City	:	WEST HOLLYWOOD
State	:	CA
Zip	:	90046-5680
Country	:	US
Telephone Number	:	610-213-8800
Fax Number	:

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

Provider Enumeration Date	:	04/18/2023
Last Update Date	:	04/18/2023

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Directions to “ JULIA MARCUS PAUL ” Practice Location

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