Provider Demographics
NPI:1487189742
Name:KRULEE, JULIA
Entity Type:Individual
Prefix:MRS
First Name:JULIA
Middle Name:
Last Name:KRULEE
Suffix:
Gender:F
Credentials:
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:1 PENWOOD RD
Mailing Address - Street 2:
Mailing Address - City:BLOOMFIELD
Mailing Address - State:CT
Mailing Address - Zip Code:06002-1520
Mailing Address - Country:US
Mailing Address - Phone:860-830-7150
Mailing Address - Fax:860-216-6676
Practice Address - Street 1:433 S MAIN ST
Practice Address - Street 2:225
Practice Address - City:WEST HARTFORD
Practice Address - State:CT
Practice Address - Zip Code:06110-1670
Practice Address - Country:US
Practice Address - Phone:860-207-9449
Practice Address - Fax:
Is Sole Proprietor?:Yes
Enumeration Date:2017-04-25
Last Update Date:2017-04-25
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes390200000XStudent, Health CareStudent in an Organized Health Care Education/Training Program
No101YM0800XBehavioral Health & Social Service ProvidersCounselorMental Health
No101YP2500XBehavioral Health & Social Service ProvidersCounselorProfessional