Burnett, Julie D.

Burnett, Julie D. is an individual health care provider with primary practice located at 800 Zorn Ave , Louisville KY 40206-1433. She recently has only one registered license in Behavioral Health & Social Service Providers / Clinical, which is considered as her primary health care specialty. Burnett, Julie D. can be contacted via phone (615) 968-1368.

Contact Information

Primary practice address
800 Zorn Ave Louisville KY 40206-1433
Phone: (615) 968-1368
Fax:
Website:
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Health care specialties

SpecialtyCodeLicense #State
Behavioral Health & Social Service Providers / Clinical 103TC0700X 180005180 Illinois

Profile Details

NPI number 1912993205
LBN Legal business name Burnett, Julie D.
Credentials PSY.D.
Entity Individual
Sole proprietor 1 No
Enumeration date Sep 22nd, 2005
Last updated Nov 2nd, 2020 - about 5 years ago

1 A sole proprietor/sole proprietorship is an individual, and in that capacity, is qualified for a solitary NPI number. The sole proprietor have to apply for the NPI number using his or her own particular Social Security Number (SSN), instead of Employer Identification Number (EIN) regardless of whether he/she has an EIN.

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Identifiers

StateTypeNumberIssuer
All States NPI 1912993205 NPPES
Illinois Other 364333972 TAX IDENTIFICATION NUMBER

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