Provider Demographics
NPI:1326670225
Name:VALDNER, JULIA FLOWER
Entity Type:Individual
Prefix:
First Name:JULIA
Middle Name:FLOWER
Last Name:VALDNER
Suffix:
Gender:F
Credentials:
Other - Prefix:
Other - First Name:JULIA
Other - Middle Name:MARIE
Other - Last Name:FLOWER
Other - Suffix:
Other - Last Name Type:Former Name
Other - Credentials:
Mailing Address - Street 1:223 W MOUNT PLEASANT AVE
Mailing Address - Street 2:
Mailing Address - City:PHILADELPHIA
Mailing Address - State:PA
Mailing Address - Zip Code:19119-2414
Mailing Address - Country:US
Mailing Address - Phone:860-402-6993
Mailing Address - Fax:
Practice Address - Street 1:223 W MOUNT PLEASANT AVE
Practice Address - Street 2:
Practice Address - City:PHILADELPHIA
Practice Address - State:PA
Practice Address - Zip Code:19119-2414
Practice Address - Country:US
Practice Address - Phone:860-402-6993
Practice Address - Fax:
Is Sole Proprietor?:Yes
Enumeration Date:2020-02-08
Last Update Date:2023-11-02
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
PA012102101YM0800X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes101YM0800XBehavioral Health & Social Service ProvidersCounselorMental Health