Provider Demographics
NPI: | 1477933752 |
---|---|
Name: | RAO, JULIA (PHD) |
Entity Type: | Individual |
Prefix: | DR |
First Name: | JULIA |
Middle Name: | |
Last Name: | RAO |
Suffix: | |
Gender: | F |
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: | 145 E 32ND ST |
Mailing Address - Street 2: | |
Mailing Address - City: | NEW YORK |
Mailing Address - State: | NY |
Mailing Address - Zip Code: | 10016-6055 |
Mailing Address - Country: | US |
Mailing Address - Phone: | |
Mailing Address - Fax: | |
Practice Address - Street 1: | 145 E 32ND ST |
Practice Address - Street 2: | |
Practice Address - City: | NEW YORK |
Practice Address - State: | NY |
Practice Address - Zip Code: | 10016-6055 |
Practice Address - Country: | US |
Practice Address - Phone: | 414-333-2122 |
Practice Address - Fax: | |
Is Sole Proprietor?: | Yes |
Enumeration Date: | 2015-06-02 |
Last Update Date: | 2021-03-26 |
Deactivation Date: | |
Deactivation Code: | |
Reactivation Date: |
Provider Licenses
State | License ID | Taxonomies |
---|---|---|
IL | 071008995 | 103TF0200X, 103TH0004X, 103TH0100X, 103TM1800X, 103TP2701X, 103TR0400X, 106H00000X, 103G00000X, 103TC0700X, 103TC1900X, 101Y00000X, 101YM0800X, 103T00000X, 103TA0700X |
Provider Taxonomies
Primary? | Code | Type | Classification | Specialization |
---|---|---|---|---|
Yes | 103G00000X | Behavioral Health & Social Service Providers | Clinical Neuropsychologist | |
No | 103TF0200X | Behavioral Health & Social Service Providers | Psychologist | Forensic |
No | 103TH0004X | Behavioral Health & Social Service Providers | Psychologist | Health |
No | 103TH0100X | Behavioral Health & Social Service Providers | Psychologist | Health Service |
No | 103TM1800X | Behavioral Health & Social Service Providers | Psychologist | Intellectual & Developmental Disabilities |
No | 103TP2701X | Behavioral Health & Social Service Providers | Psychologist | Group Psychotherapy |
No | 103TR0400X | Behavioral Health & Social Service Providers | Psychologist | Rehabilitation |
No | 106H00000X | Behavioral Health & Social Service Providers | Marriage & Family Therapist | |
No | 103TC0700X | Behavioral Health & Social Service Providers | Psychologist | Clinical |
No | 103TC1900X | Behavioral Health & Social Service Providers | Psychologist | Counseling |
No | 101Y00000X | Behavioral Health & Social Service Providers | Counselor | |
No | 101YM0800X | Behavioral Health & Social Service Providers | Counselor | Mental Health |
No | 103T00000X | Behavioral Health & Social Service Providers | Psychologist | |
No | 103TA0700X | Behavioral Health & Social Service Providers | Psychologist | Adult Development & Aging |