Provider Demographics
NPI:1184786667
Name:EGGERS HUBER, JULIE A (PSYD, LP)
Entity type:Individual
Prefix:DR
First Name:JULIE
Middle Name:A
Last Name:EGGERS HUBER
Suffix:
Gender:F
Credentials:PSYD, LP
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:3850 44TH ST SW
Mailing Address - Street 2:
Mailing Address - City:PINE RIVER
Mailing Address - State:MN
Mailing Address - Zip Code:56474-4447
Mailing Address - Country:US
Mailing Address - Phone:218-831-4930
Mailing Address - Fax:218-587-3056
Practice Address - Street 1:3850 44TH ST SW
Practice Address - Street 2:
Practice Address - City:PINE RIVER
Practice Address - State:MN
Practice Address - Zip Code:56474-4447
Practice Address - Country:US
Practice Address - Phone:218-831-4930
Practice Address - Fax:
Is Sole Proprietor?:Yes
Enumeration Date:2006-12-14
Last Update Date:2023-11-02
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
MNLP 4487103TC0700X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes103TC0700XBehavioral Health & Social Service ProvidersPsychologistClinical