Provider Demographics
NPI:1235129719
Name:HYLAND, JULIA KATHERINE (MD, PHD)
Entity Type:Individual
Prefix:DR
First Name:JULIA
Middle Name:KATHERINE
Last Name:HYLAND
Suffix:
Gender:F
Credentials:MD, PHD
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:7560 HOOVER RD
Mailing Address - Street 2:
Mailing Address - City:INDIANAPOLIS
Mailing Address - State:IN
Mailing Address - Zip Code:46260-3544
Mailing Address - Country:US
Mailing Address - Phone:317-802-1624
Mailing Address - Fax:
Practice Address - Street 1:703 PRO MED LANE
Practice Address - Street 2:INDIANA HEALTH GROUP
Practice Address - City:CARMEL
Practice Address - State:IN
Practice Address - Zip Code:46032
Practice Address - Country:US
Practice Address - Phone:317-208-7233
Practice Address - Fax:317-208-7283
Is Sole Proprietor?:No
Enumeration Date:2005-10-25
Last Update Date:2008-02-04
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
IN010547912084P0800X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes2084P0800XAllopathic & Osteopathic PhysiciansPsychiatry & NeurologyPsychiatry
Provider Identifiers
StateIdentifier IDID TypeIssuer
INH53309Medicare UPIN