Provider Demographics
NPI:1184967499
Name:ALVAREZ, JULIE ANNE (PHD)
Entity type:Individual
Prefix:DR
First Name:JULIE
Middle Name:ANNE
Last Name:ALVAREZ
Suffix:
Gender:F
Credentials:PHD
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:1555 POYDRAS ST STE 1200
Mailing Address - Street 2:SOUTHEAST LOUISIANA VETERANS HEALTH CARE SYSTEM
Mailing Address - City:NEW ORLEANS
Mailing Address - State:LA
Mailing Address - Zip Code:70112-3710
Mailing Address - Country:US
Mailing Address - Phone:504-412-3700
Mailing Address - Fax:
Practice Address - Street 1:1555 POYDRAS ST STE 1200
Practice Address - Street 2:SOUTHEAST LOUISIANA VETERANS HEALTH CARE SYSTEM
Practice Address - City:NEW ORLEANS
Practice Address - State:LA
Practice Address - Zip Code:70112-3710
Practice Address - Country:US
Practice Address - Phone:504-412-3700
Practice Address - Fax:
Is Sole Proprietor?:Yes
Enumeration Date:2013-04-04
Last Update Date:2013-08-23
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
LA1204103G00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes103G00000XBehavioral Health & Social Service ProvidersClinical Neuropsychologist