Provider Demographics
NPI:1417327131
Name:BREUR, JULIA (PHD, LMFT)
Entity Type:Individual
Prefix:DR
First Name:JULIA
Middle Name:
Last Name:BREUR
Suffix:
Gender:F
Credentials:PHD, LMFT
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:PO BOX 5405
Mailing Address - Street 2:
Mailing Address - City:LIGHTHOUSE POINT
Mailing Address - State:FL
Mailing Address - Zip Code:33074-5405
Mailing Address - Country:US
Mailing Address - Phone:561-512-8545
Mailing Address - Fax:
Practice Address - Street 1:200 W CAMINO REAL
Practice Address - Street 2:SUITE - S
Practice Address - City:BOCA RATON
Practice Address - State:FL
Practice Address - Zip Code:33432-5944
Practice Address - Country:US
Practice Address - Phone:561-512-8545
Practice Address - Fax:
Is Sole Proprietor?:Yes
Enumeration Date:2015-10-07
Last Update Date:2015-10-07
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
FLMT3044106H00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes106H00000XBehavioral Health & Social Service ProvidersMarriage & Family Therapist