Provider Demographics
NPI:1699845396
Name:GUTHRIE, JULIE ANN (MD)
Entity Type:Individual
Prefix:DR
First Name:JULIE
Middle Name:ANN
Last Name:GUTHRIE
Suffix:
Gender:F
Credentials:MD
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:2000 HENDERSON RD STE 325
Mailing Address - Street 2:
Mailing Address - City:COLUMBUS
Mailing Address - State:OH
Mailing Address - Zip Code:43220-2466
Mailing Address - Country:US
Mailing Address - Phone:614-538-8300
Mailing Address - Fax:614-538-1656
Practice Address - Street 1:2000 HENDERSON RD STE 325
Practice Address - Street 2:
Practice Address - City:COLUMBUS
Practice Address - State:OH
Practice Address - Zip Code:43220-2466
Practice Address - Country:US
Practice Address - Phone:614-538-8300
Practice Address - Fax:614-538-1656
Is Sole Proprietor?:No
Enumeration Date:2006-11-09
Last Update Date:2024-01-12
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
OH350592392084P0800X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes2084P0800XAllopathic & Osteopathic PhysiciansPsychiatry & NeurologyPsychiatry
Provider Identifiers
StateIdentifier IDID TypeIssuer
OH0881256Medicaid
GU0701526Medicare ID - Type Unspecified
OH0881256Medicaid