Provider Demographics
NPI:1780767491
Name:THOMPSON ANDREANI, JULIE CATHERINE (RN AND MSW)
Entity type:Individual
Prefix:MS
First Name:JULIE
Middle Name:CATHERINE
Last Name:THOMPSON ANDREANI
Suffix:
Gender:F
Credentials:RN AND MSW
Other - Prefix:MS
Other - First Name:JULIE
Other - Middle Name:CATHERINE
Other - Last Name:THOMPSON ANDREANI
Other - Suffix:
Other - Last Name Type:Other Name
Other - Credentials:RN AND MSW
Mailing Address - Street 1:405 16TH ST
Mailing Address - Street 2:
Mailing Address - City:MANHATTAN BEACH
Mailing Address - State:CA
Mailing Address - Zip Code:90266-4622
Mailing Address - Country:US
Mailing Address - Phone:310-545-7182
Mailing Address - Fax:310-231-0684
Practice Address - Street 1:405 16TH ST
Practice Address - Street 2:11080 W. OLYMPIC BL.
Practice Address - City:MANHATTAN BEACH
Practice Address - State:CA
Practice Address - Zip Code:90266-4622
Practice Address - Country:US
Practice Address - Phone:310-545-7182
Practice Address - Fax:310-231-0684
Is Sole Proprietor?:No
Enumeration Date:2006-10-24
Last Update Date:2007-07-08
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
CA177511041C0700X
CAV293486163WA2000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Not Answered1041C0700XBehavioral Health & Social Service ProvidersSocial WorkerClinical
Not Answered163WA2000XNursing Service ProvidersRegistered NurseAdministrator