Provider Demographics
NPI:1114665445
Name:SLOMOVIC, JULIA MIRIAM (NONE)
Entity Type:Individual
Prefix:MS
First Name:JULIA
Middle Name:MIRIAM
Last Name:SLOMOVIC
Suffix:
Gender:F
Credentials:NONE
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Mailing Address - Street 1:4770 BASELINE RD STE 200
Mailing Address - Street 2:
Mailing Address - City:BOULDER
Mailing Address - State:CO
Mailing Address - Zip Code:80303-2668
Mailing Address - Country:US
Mailing Address - Phone:970-982-3476
Mailing Address - Fax:855-568-2494
Practice Address - Street 1:4770 BASELINE RD STE 200
Practice Address - Street 2:
Practice Address - City:BOULDER
Practice Address - State:CO
Practice Address - Zip Code:80303-2668
Practice Address - Country:US
Practice Address - Phone:970-982-3476
Practice Address - Fax:855-568-2494
Is Sole Proprietor?:No
Enumeration Date:2022-05-25
Last Update Date:2022-05-25
Deactivation Date:
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Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes106S00000XBehavioral Health & Social Service ProvidersBehavior Technician