Provider Demographics
NPI:1972936748
Name:PINSKY, JULIA (LMFT)
Entity Type:Individual
Prefix:
First Name:JULIA
Middle Name:
Last Name:PINSKY
Suffix:
Gender:F
Credentials:LMFT
Other - Prefix:
Other - First Name:JULIA
Other - Middle Name:
Other - Last Name:HAMBLIN
Other - Suffix:
Other - Last Name Type:Former Name
Other - Credentials:LMFT
Mailing Address - Street 1:526 SOQUEL AVE
Mailing Address - Street 2:SUITE D
Mailing Address - City:SANTA CRUZ
Mailing Address - State:CA
Mailing Address - Zip Code:95062-2321
Mailing Address - Country:US
Mailing Address - Phone:831-222-0011
Mailing Address - Fax:
Practice Address - Street 1:526 SOQUEL AVE
Practice Address - Street 2:SUITE D
Practice Address - City:SANTA CRUZ
Practice Address - State:CA
Practice Address - Zip Code:95062-2321
Practice Address - Country:US
Practice Address - Phone:831-222-0011
Practice Address - Fax:
Is Sole Proprietor?:Yes
Enumeration Date:2013-08-15
Last Update Date:2017-02-14
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
CA87951106H00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes106H00000XBehavioral Health & Social Service ProvidersMarriage & Family Therapist
Provider Identifiers
StateIdentifier IDID TypeIssuer
CA47-4128250OtherTAX ID