Provider Demographics
NPI:1376830836
Name:HJUL, MAREN CHRISTIANA (PSYD)
Entity Type:Individual
Prefix:DR
First Name:MAREN
Middle Name:CHRISTIANA
Last Name:HJUL
Suffix:
Gender:F
Credentials:PSYD
Other - Prefix:MRS
Other - First Name:MAREN
Other - Middle Name:HJUL
Other - Last Name:ANDERSEN
Other - Suffix:
Other - Last Name Type:Former Name
Other - Credentials:
Mailing Address - Street 1:534 B ST
Mailing Address - Street 2:
Mailing Address - City:SANTA ROSA
Mailing Address - State:CA
Mailing Address - Zip Code:95401-5211
Mailing Address - Country:US
Mailing Address - Phone:707-579-0465
Mailing Address - Fax:
Practice Address - Street 1:534 B ST
Practice Address - Street 2:
Practice Address - City:SANTA ROSA
Practice Address - State:CA
Practice Address - Zip Code:95401-5211
Practice Address - Country:US
Practice Address - Phone:707-579-0465
Practice Address - Fax:707-579-0560
Is Sole Proprietor?:No
Enumeration Date:2011-07-06
Last Update Date:2016-01-07
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
CAPSY24312103TC0700X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes103TC0700XBehavioral Health & Social Service ProvidersPsychologistClinical