Provider Demographics
NPI:1073596854
Name:MACARTHUR, JULIE (MA LLP)
Entity Type:Individual
Prefix:
First Name:JULIE
Middle Name:
Last Name:MACARTHUR
Suffix:
Gender:F
Credentials:MA LLP
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:124 S MEARS AVE
Mailing Address - Street 2:
Mailing Address - City:WHITEHALL
Mailing Address - State:MI
Mailing Address - Zip Code:49461-1041
Mailing Address - Country:US
Mailing Address - Phone:231-894-3500
Mailing Address - Fax:231-894-3559
Practice Address - Street 1:124 S MEARS AVE
Practice Address - Street 2:
Practice Address - City:WHITEHALL
Practice Address - State:MI
Practice Address - Zip Code:49461-1041
Practice Address - Country:US
Practice Address - Phone:231-894-3500
Practice Address - Fax:231-894-3559
Is Sole Proprietor?:Yes
Enumeration Date:2005-11-25
Last Update Date:2007-07-08
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
MI6301008625103T00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes103T00000XBehavioral Health & Social Service ProvidersPsychologist