Provider Demographics
NPI:1134776347
Name:SINKUC, JULIE A (MED, EDS)
Entity type:Individual
Prefix:
First Name:JULIE
Middle Name:A
Last Name:SINKUC
Suffix:
Gender:F
Credentials:MED, EDS
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:160 WHITE AVE
Mailing Address - Street 2:
Mailing Address - City:SHARON
Mailing Address - State:PA
Mailing Address - Zip Code:16146-3054
Mailing Address - Country:US
Mailing Address - Phone:724-813-5723
Mailing Address - Fax:
Practice Address - Street 1:3436 EDGEWOOD DR
Practice Address - Street 2:
Practice Address - City:ASHTABULA
Practice Address - State:OH
Practice Address - Zip Code:44004-5967
Practice Address - Country:US
Practice Address - Phone:440-998-4411
Practice Address - Fax:
Is Sole Proprietor?:No
Enumeration Date:2019-08-22
Last Update Date:2019-08-22
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
OH3026436103TS0200X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes103TS0200XBehavioral Health & Social Service ProvidersPsychologistSchool