Provider Demographics
NPI:1609122555
Name:PULIS, JOSHUA EARL (LCSW)
Entity Type:Individual
Prefix:
First Name:JOSHUA
Middle Name:EARL
Last Name:PULIS
Suffix:
Gender:M
Credentials:LCSW
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:3318 S.FRANKLIN ST.
Mailing Address - Street 2:
Mailing Address - City:DALLAS
Mailing Address - State:TX
Mailing Address - Zip Code:75233
Mailing Address - Country:US
Mailing Address - Phone:214-558-2309
Mailing Address - Fax:
Practice Address - Street 1:3318 S.FRANKLIN ST.
Practice Address - Street 2:
Practice Address - City:DALLAS
Practice Address - State:TX
Practice Address - Zip Code:75233
Practice Address - Country:US
Practice Address - Phone:214-558-2309
Practice Address - Fax:
Is Sole Proprietor?:Yes
Enumeration Date:2012-07-30
Last Update Date:2012-07-30
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
TX356111041C0700X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes1041C0700XBehavioral Health & Social Service ProvidersSocial WorkerClinical