Provider Demographics
NPI:1831260025
Name:XIQUES-PRIETO, JULIE A (PSYD)
Entity type:Individual
Prefix:MRS
First Name:JULIE
Middle Name:A
Last Name:XIQUES-PRIETO
Suffix:
Gender:F
Credentials:PSYD
Other - Prefix:
Other - First Name:JXP
Other - Middle Name:
Other - Last Name:HEALTHY MINDS, P.C.
Other - Suffix:
Other - Last Name Type:Professional Name
Other - Credentials:
Mailing Address - Street 1:819 N ASHLAND AVE
Mailing Address - Street 2:SUITE # 201
Mailing Address - City:CHICAGO
Mailing Address - State:IL
Mailing Address - Zip Code:60622-5102
Mailing Address - Country:US
Mailing Address - Phone:312-492-8081
Mailing Address - Fax:312-492-8083
Practice Address - Street 1:819 N ASHLAND AVE
Practice Address - Street 2:SUITE # 201
Practice Address - City:CHICAGO
Practice Address - State:IL
Practice Address - Zip Code:60622-5102
Practice Address - Country:US
Practice Address - Phone:312-492-8081
Practice Address - Fax:312-492-8083
Is Sole Proprietor?:Yes
Enumeration Date:2006-11-11
Last Update Date:2007-07-08
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
IL103T00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes103T00000XBehavioral Health & Social Service ProvidersPsychologist