Provider Demographics
NPI:1073954343
Name:HAYEK, JULIE A (PHD, NCTMB,)
Entity Type:Individual
Prefix:DR
First Name:JULIE
Middle Name:A
Last Name:HAYEK
Suffix:
Gender:F
Credentials:PHD, NCTMB,
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:25865 W 12 MILE RD
Mailing Address - Street 2:SUITE D-116
Mailing Address - City:SOUTHFIELD
Mailing Address - State:MI
Mailing Address - Zip Code:48034-1817
Mailing Address - Country:US
Mailing Address - Phone:248-894-9560
Mailing Address - Fax:
Practice Address - Street 1:25865 W 12 MILE RD
Practice Address - Street 2:SUITE D-116
Practice Address - City:SOUTHFIELD
Practice Address - State:MI
Practice Address - Zip Code:48034-1817
Practice Address - Country:US
Practice Address - Phone:248-894-9560
Practice Address - Fax:
Is Sole Proprietor?:No
Enumeration Date:2013-07-15
Last Update Date:2013-07-15
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes174H00000XOther Service ProvidersHealth Educator
No175F00000XOther Service ProvidersNaturopath