Julie C Etzel is a Clinical in Louisville, Kentucky. Julie C Etzel practices all healthcare services and medical treatments related to Clinical. The NPI Number for Julie C Etzel is 1932293693. The last update date is 2011-06-21.
Julie C Etzel's current location address is 1169 Eastern Pkwy, Louisville, Kentucky. You can contact this provider via phone number 5024540755 and fax number 5024791231. The mailing address for Julie C Etzel is 1169 Eastern Pkwy, Louisville, Kentucky. To know further, please read the information below!
Provider Profile Detail
| Provider Name | Julie C Etzel |
|---|---|
| Address | 1169 Eastern Pkwy, Louisville, Kentucky |
| Phone Number | 5024540755 |
| Fax Number | 5024791231 |
| Sole Proprietor | N |
| Credentials | PHD |
NPI Number Detail
| NPI Number | 1932293693 |
|---|---|
| Provider Enumeration Date | 2006-10-03 |
| Last Updated Date | 2011-06-21 |
Provider Mailing Address Detail
| Address | 1169 Eastern Pkwy |
|---|---|
| City | Louisville |
| State | Kentucky (KY) |
| Post Code | 402171417 |
| Phone Number | 5024540755 |
| Fax Number | 5024791231 |
Provider's Primary Taxonomy Detail
| Speciality | Clinical |
|---|---|
| Taxonomy | 103Tc0700X |
| Licence No | 1616 |
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Definition: A psychologist who provides continuing and comprehensive mental and behavioral health care for individuals and families; consultation to agencies and communities; training, education and supervision; and research-based practice. It is a specialty in |
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Provider's Other Legacy Identifiers
| Identifier | Identifier Type | Identifier State | Identifier Issuer |
|---|---|---|---|
| 1616 | KY | KY PSYCHOLOGY LICENSE | |
| 071-007127 | IL | IL STATE LIC |
Post Comment/ Review Below
What is the Julie C Etzel's unique identification number?
The Julie C Etzel has been assigned the NPI (National Provider Identifier) Number 1932293693 by the Centers for Medicare & Medicaid Services (CMS). This 10-digit code serves as a unique identifier for the organization.
Where is the Julie C Etzel located?
The Julie C Etzel is located at 1169 Eastern Pkwy, Louisville, KY 402171417.
What is Julie C Etzel's primary area of medical expertise, and what taxonomy classification code corresponds to this specialized field?
The primary area of medical expertise for Julie C Etzel is Clinical, and the corresponding taxonomy classification code for this specialized field is 103Tc0700X.
On what date did the Julie C Etzel receive its 1932293693 assignment from the Centers for Medicare & Medicaid Services?
The Julie C Etzel was assigned its 1932293693 by the Centers for Medicare & Medicaid Services on 2006-10-03.
When was the information regarding Julie C Etzel, such as address, specialty, and other details, most recently verified or confirmed to be accurate?
The information pertaining to Julie C Etzel, including its address, specialty, and other relevant details, was most recently verified or confirmed to be accurate on 2011-06-21.