Provider Demographics
NPI:1457413221
Name:MCDONALD, JULIE ERIN (PHD)
Entity Type:Individual
Prefix:DR
First Name:JULIE
Middle Name:ERIN
Last Name:MCDONALD
Suffix:
Gender:F
Credentials:PHD
Other - Prefix:DR
Other - First Name:JULIE
Other - Middle Name:ERIN
Other - Last Name:MCDONALD-HAILE
Other - Suffix:
Other - Last Name Type:Former Name
Other - Credentials:PHD
Mailing Address - Street 1:300 VESTAVIA PKWY
Mailing Address - Street 2:SUITE 3200
Mailing Address - City:BIRMINGHAM
Mailing Address - State:AL
Mailing Address - Zip Code:35216-7714
Mailing Address - Country:US
Mailing Address - Phone:205-822-7348
Mailing Address - Fax:205-822-7297
Practice Address - Street 1:300 VESTAVIA PKWY
Practice Address - Street 2:SUITE 3200
Practice Address - City:BIRMINGHAM
Practice Address - State:AL
Practice Address - Zip Code:35216-7714
Practice Address - Country:US
Practice Address - Phone:205-822-7348
Practice Address - Fax:205-822-7297
Is Sole Proprietor?:No
Enumeration Date:2006-12-15
Last Update Date:2007-07-08
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
AL830103TC0700X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes103TC0700XBehavioral Health & Social Service ProvidersPsychologistClinical
Provider Identifiers
StateIdentifier IDID TypeIssuer
ALS10945Medicare UPIN
AL33242Medicare ID - Type Unspecified