Davis, Julia ----

Davis, Julia ---- is an sole proprietor health care provider with primary practice located at 430 Oak Grove St Suite 403, Minneapolis MN 55403-3253. She recently has only one registered license in Behavioral Health & Social Service Providers / Clinical Child & Adolescent, which is considered as her primary health care specialty. Davis, Julia ---- can be contacted via phone (612) 871-8684.

Contact Information

Primary practice address
430 Oak Grove St Suite 403 Minneapolis MN 55403-3253
Phone: (612) 871-8684
Fax: (612) 871-2374
Website:
Map and Directions

Health care specialties

SpecialtyCodeLicense #State
Behavioral Health & Social Service Providers / Clinical Child & Adolescent 103TC2200X LP1216 Minnesota

Profile Details

NPI number 1225041551
LBN Legal business name Davis, Julia ----
Credentials PH.D., L.P.
Entity Individual
Sole proprietor 1 Yes
Enumeration date Aug 15th, 2006
Last updated Jul 9th, 2007 - about 17 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 1225041551 NPPES
Minnesota Other 1329511 STATE IDENTIFICATION #

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