Provider Demographics
NPI:1417078379
Name:MARZUOLA, JULIANN (LPC)
Entity Type:Individual
Prefix:
First Name:JULIANN
Middle Name:
Last Name:MARZUOLA
Suffix:
Gender:F
Credentials:LPC
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:5009 N PENNSYLVANIA AVE
Mailing Address - Street 2:SUITE 114
Mailing Address - City:OKLAHOMA CITY
Mailing Address - State:OK
Mailing Address - Zip Code:73112-8888
Mailing Address - Country:US
Mailing Address - Phone:405-848-1992
Mailing Address - Fax:405-848-1993
Practice Address - Street 1:5009 N PENNSYLVANIA AVE
Practice Address - Street 2:SUITE 114
Practice Address - City:OKLAHOMA CITY
Practice Address - State:OK
Practice Address - Zip Code:73112-8888
Practice Address - Country:US
Practice Address - Phone:405-848-1992
Practice Address - Fax:405-848-1993
Is Sole Proprietor?:No
Enumeration Date:2007-04-02
Last Update Date:2007-07-08
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
OKLPC1261101YP2500X
OKLD218133V00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Not Answered101YP2500XBehavioral Health & Social Service ProvidersCounselorProfessional
Not Answered133V00000XDietary & Nutritional Service ProvidersDietitian, Registered