Provider Demographics
NPI:1891367843
Name:TREMPALA, JULIA JEAN
Entity Type:Individual
Prefix:
First Name:JULIA
Middle Name:JEAN
Last Name:TREMPALA
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 1:6370 PERSHING AVE
Mailing Address - Street 2:
Mailing Address - City:SAINT LOUIS
Mailing Address - State:MO
Mailing Address - Zip Code:63130-4703
Mailing Address - Country:US
Mailing Address - Phone:314-971-9342
Mailing Address - Fax:
Practice Address - Street 1:6370 PERSHING AVE
Practice Address - Street 2:
Practice Address - City:SAINT LOUIS
Practice Address - State:MO
Practice Address - Zip Code:63130-4703
Practice Address - Country:US
Practice Address - Phone:314-971-9342
Practice Address - Fax:
Is Sole Proprietor?:No
Enumeration Date:2021-07-10
Last Update Date:2021-07-10
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes106S00000XBehavioral Health & Social Service ProvidersBehavior Technician