Provider Demographics
NPI:1386116770
Name:CHASLER, JULIA KATHRYN (PSYD)
Entity type:Individual
Prefix:
First Name:JULIA
Middle Name:KATHRYN
Last Name:CHASLER
Suffix:
Gender:F
Credentials:PSYD
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:1000 BENT CREEK BLVD STE 10
Mailing Address - Street 2:
Mailing Address - City:MECHANICSBURG
Mailing Address - State:PA
Mailing Address - Zip Code:17050-1869
Mailing Address - Country:US
Mailing Address - Phone:717-988-9460
Mailing Address - Fax:
Practice Address - Street 1:1000 BENT CREEK BLVD STE 10
Practice Address - Street 2:
Practice Address - City:MECHANICSBURG
Practice Address - State:PA
Practice Address - Zip Code:17050-1869
Practice Address - Country:US
Practice Address - Phone:717-988-9460
Practice Address - Fax:
Is Sole Proprietor?:No
Enumeration Date:2018-12-22
Last Update Date:2021-07-19
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
UT10077619-2501103T00000X
PAPS019306103T00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes103T00000XBehavioral Health & Social Service ProvidersPsychologist