Provider Demographics
NPI:1073879888
Name:PSICIHULIS, JULIA LOVEJOY (MS, LPC)
Entity Type:Individual
Prefix:
First Name:JULIA
Middle Name:LOVEJOY
Last Name:PSICIHULIS
Suffix:
Gender:F
Credentials:MS, LPC
Other - Prefix:
Other - First Name:JULIA
Other - Middle Name:LOVEJOY
Other - Last Name:WAEFFLER
Other - Suffix:
Other - Last Name Type:Former Name
Other - Credentials:
Mailing Address - Street 1:2607 N GRANDVIEW BLVD
Mailing Address - Street 2:SUITE 104
Mailing Address - City:WAUKESHA
Mailing Address - State:WI
Mailing Address - Zip Code:53188-1686
Mailing Address - Country:US
Mailing Address - Phone:262-446-9981
Mailing Address - Fax:262-446-9983
Practice Address - Street 1:250 N SUNNY SLOPE RD STE 203
Practice Address - Street 2:
Practice Address - City:BROOKFIELD
Practice Address - State:WI
Practice Address - Zip Code:53005-4824
Practice Address - Country:US
Practice Address - Phone:262-782-2820
Practice Address - Fax:
Is Sole Proprietor?:No
Enumeration Date:2012-04-05
Last Update Date:2020-03-02
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
WI4733-125101YP2500X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes101YP2500XBehavioral Health & Social Service ProvidersCounselorProfessional