Provider Demographics
NPI:1740670660
Name:LEARY, JULIA (CNP)
Entity type:Individual
Prefix:
First Name:JULIA
Middle Name:
Last Name:LEARY
Suffix:
Gender:F
Credentials:CNP
Other - Prefix:
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Other - Last Name:
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Other - Credentials:
Mailing Address - Street 1:3333 BURNET AVE # MLC5021
Mailing Address - Street 2:
Mailing Address - City:CINCINNATI
Mailing Address - State:OH
Mailing Address - Zip Code:45229-3039
Mailing Address - Country:US
Mailing Address - Phone:513-636-4225
Mailing Address - Fax:513-636-2511
Practice Address - Street 1:PSYCHIATRY/PSYCHOLOGY-LIBERTY CAMPUS
Practice Address - Street 2:7777 YANKEE RD., ML 16066
Practice Address - City:LIBERTY TOWNSHIP
Practice Address - State:OH
Practice Address - Zip Code:45044-3500
Practice Address - Country:US
Practice Address - Phone:513-803-9600
Practice Address - Fax:513-636-2300
Is Sole Proprietor?:No
Enumeration Date:2015-01-30
Last Update Date:2019-11-27
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
OHCOA.16202-NP363LP0808X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes363LP0808XPhysician Assistants & Advanced Practice Nursing ProvidersNurse PractitionerPsychiatric/Mental Health