Provider Demographics
NPI:1932392313
Name:SLEDGE, JULIA A
Entity Type:Individual
Prefix:MS
First Name:JULIA
Middle Name:A
Last Name:SLEDGE
Suffix:
Gender:F
Credentials:
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:6691 CONVOY CT
Mailing Address - Street 2:
Mailing Address - City:SAN DIEGO
Mailing Address - State:CA
Mailing Address - Zip Code:92111-1008
Mailing Address - Country:US
Mailing Address - Phone:858-715-1211
Mailing Address - Fax:858-715-1274
Practice Address - Street 1:6691 CONVOY CT
Practice Address - Street 2:
Practice Address - City:SAN DIEGO
Practice Address - State:CA
Practice Address - Zip Code:92111-1008
Practice Address - Country:US
Practice Address - Phone:858-715-1211
Practice Address - Fax:858-715-1274
Is Sole Proprietor?:No
Enumeration Date:2007-08-20
Last Update Date:2007-08-29
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes101YA0400XBehavioral Health & Social Service ProvidersCounselorAddiction (Substance Use Disorder)