Provider Demographics
NPI:1609899160
Name:ALLENDER, JULIE ANN (EDD)
Entity Type:Individual
Prefix:DR
First Name:JULIE
Middle Name:ANN
Last Name:ALLENDER
Suffix:
Gender:F
Credentials:EDD
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:34 MACNAUGHTON RD
Mailing Address - Street 2:
Mailing Address - City:PUEBLO
Mailing Address - State:CO
Mailing Address - Zip Code:81001-1731
Mailing Address - Country:US
Mailing Address - Phone:719-544-0018
Mailing Address - Fax:719-544-0018
Practice Address - Street 1:34 MACNAUGHTON RD
Practice Address - Street 2:
Practice Address - City:PUEBLO
Practice Address - State:CO
Practice Address - Zip Code:81001-1731
Practice Address - Country:US
Practice Address - Phone:719-544-0018
Practice Address - Fax:719-544-0018
Is Sole Proprietor?:Yes
Enumeration Date:2006-07-25
Last Update Date:2021-01-05
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
PAPS003371L103TC0700X
MA2971103TC0700X
COPSY0005420103TC0700X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes103TC0700XBehavioral Health & Social Service ProvidersPsychologistClinical
Provider Identifiers
StateIdentifier IDID TypeIssuer
PA0001808014OtherINDEPENDENCE BLUE CROSS
PAAL1808014OtherHIGHMARKASSIGNMENT NUMBER
PA0039994000OtherINDEPENDENCE BLUE CROSS
PA436073OtherHIGHMARK BLUE SHIELD