Provider Demographics
NPI:1659068906
Name:PAUL, JULIA MARCUS
Entity Type:Individual
Prefix:
First Name:JULIA
Middle Name:MARCUS
Last Name:PAUL
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 1:7914 NORTON AVE APT 101
Mailing Address - Street 2:
Mailing Address - City:WEST HOLLYWOOD
Mailing Address - State:CA
Mailing Address - Zip Code:90046-5680
Mailing Address - Country:US
Mailing Address - Phone:610-213-8800
Mailing Address - Fax:
Practice Address - Street 1:7914 NORTON AVE APT 101
Practice Address - Street 2:
Practice Address - City:WEST HOLLYWOOD
Practice Address - State:CA
Practice Address - Zip Code:90046-5680
Practice Address - Country:US
Practice Address - Phone:610-213-8800
Practice Address - Fax:
Is Sole Proprietor?:No
Enumeration Date:2023-04-18
Last Update Date:2023-04-18
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes106H00000XBehavioral Health & Social Service ProvidersMarriage & Family Therapist