Provider Demographics
NPI:1568685154
Name:WASHBURN, JULIA LYNN (BS MA)
Entity Type:Individual
Prefix:MS
First Name:JULIA
Middle Name:LYNN
Last Name:WASHBURN
Suffix:
Gender:F
Credentials:BS MA
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:2520 WINDMIRE WAY
Mailing Address - Street 2:
Mailing Address - City:ANDERSON
Mailing Address - State:IN
Mailing Address - Zip Code:46012-9465
Mailing Address - Country:US
Mailing Address - Phone:765-644-4184
Mailing Address - Fax:765-644-4184
Practice Address - Street 1:2520 WINDMIRE WAY
Practice Address - Street 2:
Practice Address - City:ANDERSON
Practice Address - State:IN
Practice Address - Zip Code:46012-9465
Practice Address - Country:US
Practice Address - Phone:765-644-4184
Practice Address - Fax:765-644-4184
Is Sole Proprietor?:No
Enumeration Date:2007-04-11
Last Update Date:2007-07-09
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes171M00000XOther Service ProvidersCase Manager/Care Coordinator