Provider Demographics
NPI:1558400044
Name:TANDY, JULIA (MSW)
Entity Type:Individual
Prefix:MS
First Name:JULIA
Middle Name:
Last Name:TANDY
Suffix:
Gender:F
Credentials:MSW
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:UNIT 28747 BOX 6537
Mailing Address - Street 2:
Mailing Address - City:APO
Mailing Address - State:AE
Mailing Address - Zip Code:09177-8747
Mailing Address - Country:US
Mailing Address - Phone:
Mailing Address - Fax:
Practice Address - Street 1:ARMY HEALTH CLINIC ANSBACH URLAS KASERNE
Practice Address - Street 2:COMANCHE BLVD. BLD 8156
Practice Address - City:ANSBACH
Practice Address - State:BAVARIA
Practice Address - Zip Code:91522
Practice Address - Country:DE
Practice Address - Phone:314-590-3726
Practice Address - Fax:
Is Sole Proprietor?:No
Enumeration Date:2007-02-05
Last Update Date:2023-11-01
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
CO104100000X
CO9911041C0700X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes1041C0700XBehavioral Health & Social Service ProvidersSocial WorkerClinical
No104100000XBehavioral Health & Social Service ProvidersSocial Worker