Provider Demographics
NPI:1902183122
Name:CASE, JULIA (BS, BHRS)
Entity Type:Individual
Prefix:
First Name:JULIA
Middle Name:
Last Name:CASE
Suffix:
Gender:F
Credentials:BS, BHRS
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:8308 WILLOW CREEK BLVD
Mailing Address - Street 2:
Mailing Address - City:OKLAHOMA CITY
Mailing Address - State:OK
Mailing Address - Zip Code:73162-2021
Mailing Address - Country:US
Mailing Address - Phone:405-820-6500
Mailing Address - Fax:
Practice Address - Street 1:8308 WILLOW CREEK BLVD
Practice Address - Street 2:
Practice Address - City:OKLAHOMA CITY
Practice Address - State:OK
Practice Address - Zip Code:73162-2021
Practice Address - Country:US
Practice Address - Phone:405-820-6500
Practice Address - Fax:
Is Sole Proprietor?:Yes
Enumeration Date:2011-11-16
Last Update Date:2011-11-16
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes103TF0000XBehavioral Health & Social Service ProvidersPsychologistFamily