Provider Demographics
NPI:1265466254
Name:WORLAND, JULIEN (PHD)
Entity Type:Individual
Prefix:DR
First Name:JULIEN
Middle Name:
Last Name:WORLAND
Suffix:
Gender:M
Credentials:PHD
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:225 S MERAMEC AVE
Mailing Address - Street 2:SUITE 432T
Mailing Address - City:CLAYTON
Mailing Address - State:MO
Mailing Address - Zip Code:63105-3597
Mailing Address - Country:US
Mailing Address - Phone:314-863-6360
Mailing Address - Fax:314-721-6778
Practice Address - Street 1:225 S MERAMEC AVE
Practice Address - Street 2:SUITE 432T
Practice Address - City:CLAYTON
Practice Address - State:MO
Practice Address - Zip Code:63105-3597
Practice Address - Country:US
Practice Address - Phone:314-863-6360
Practice Address - Fax:314-721-6778
Is Sole Proprietor?:No
Enumeration Date:2006-07-10
Last Update Date:2007-07-08
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
MOPSYCH00436103TC0700X, 103TC2200X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Not Answered103TC0700XBehavioral Health & Social Service ProvidersPsychologistClinical
Not Answered103TC2200XBehavioral Health & Social Service ProvidersPsychologistClinical Child & Adolescent