Provider Demographics
NPI:1689230872
Name:HEATH, JULIAN HENRY (PSYD)
Entity Type:Individual
Prefix:DR
First Name:JULIAN
Middle Name:HENRY
Last Name:HEATH
Suffix:
Gender:M
Credentials:PSYD
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:5001 SW 20TH ST APT 1502
Mailing Address - Street 2:
Mailing Address - City:OCALA
Mailing Address - State:FL
Mailing Address - Zip Code:34474-8546
Mailing Address - Country:US
Mailing Address - Phone:478-258-5438
Mailing Address - Fax:
Practice Address - Street 1:5001 SW 20TH ST APT 1502
Practice Address - Street 2:
Practice Address - City:OCALA
Practice Address - State:FL
Practice Address - Zip Code:34474-8546
Practice Address - Country:US
Practice Address - Phone:478-258-5438
Practice Address - Fax:
Is Sole Proprietor?:No
Enumeration Date:2019-05-14
Last Update Date:2020-12-23
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
ALNONE103TC0700X
VA0810006441103TC0700X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes103TC0700XBehavioral Health & Social Service ProvidersPsychologistClinical