Wall, Julia D.
Wall, Julia D. is an sole proprietor health care provider with primary practice located at 208 Mccowan St Ste 102 , Montgomery TX 77356-4433. She recently has only one registered license in Behavioral Health & Social Service Providers / Professional, which is considered as her primary health care specialty. Wall, Julia D. can be contacted via phone (936) 597-7055.Contact Information
Primary practice address
208 Mccowan St Ste 102
Montgomery TX 77356-4433
Phone: (936) 597-7055
Fax: (936) 597-7055
Website:
Health care specialties
| Specialty | Code | License # | State |
|---|---|---|---|
| Behavioral Health & Social Service Providers / Professional | 101YP2500X | 16065 | Texas |
Profile Details
| NPI number | 1285702340 |
|---|---|
| LBN Legal business name | Wall, Julia D. |
| Credentials | M.ED., L.P.C. |
| Entity | Individual |
| Sole proprietor 1 | Yes |
| Enumeration date | Nov 30th, 2006 |
| Last updated | Mar 25th, 2011 - about 14 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.
Identifiers
| State | Type | Number | Issuer |
|---|---|---|---|
| All States | NPI | 1285702340 | NPPES |
| Texas | MEDICAID | 096095703 |
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