Provider Demographics
NPI:1972909752
Name:HOLLENBERG, JULIA (MS, RDN, CD, RYT)
Entity Type:Individual
Prefix:
First Name:JULIA
Middle Name:
Last Name:HOLLENBERG
Suffix:
Gender:F
Credentials:MS, RDN, CD, RYT
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:711 BELMONT PL E APT 103
Mailing Address - Street 2:
Mailing Address - City:SEATTLE
Mailing Address - State:WA
Mailing Address - Zip Code:98102-4445
Mailing Address - Country:US
Mailing Address - Phone:917-331-5033
Mailing Address - Fax:
Practice Address - Street 1:711 BELMONT PL E APT 103
Practice Address - Street 2:
Practice Address - City:SEATTLE
Practice Address - State:WA
Practice Address - Zip Code:98102
Practice Address - Country:US
Practice Address - Phone:917-331-5033
Practice Address - Fax:
Is Sole Proprietor?:Yes
Enumeration Date:2014-11-06
Last Update Date:2021-06-22
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
WADI60507246133V00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes133V00000XDietary & Nutritional Service ProvidersDietitian, Registered