Provider Demographics
NPI:1588713283
Name:URAN, JULIE SUE (PHD)
Entity type:Individual
Prefix:DR
First Name:JULIE
Middle Name:SUE
Last Name:URAN
Suffix:
Gender:F
Credentials:PHD
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
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Other - Credentials:
Mailing Address - Street 1:185 FORRESTER RD
Mailing Address - Street 2:
Mailing Address - City:SLIPPERY ROCK
Mailing Address - State:PA
Mailing Address - Zip Code:16057-2515
Mailing Address - Country:US
Mailing Address - Phone:724-794-1954
Mailing Address - Fax:724-794-1905
Practice Address - Street 1:220 S MAIN ST
Practice Address - Street 2:SUITE 304
Practice Address - City:BUTLER
Practice Address - State:PA
Practice Address - Zip Code:16001-5987
Practice Address - Country:US
Practice Address - Phone:724-287-5604
Practice Address - Fax:724-287-3779
Is Sole Proprietor?:Yes
Enumeration Date:2007-01-10
Last Update Date:2008-07-17
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
PAPS005709L103T00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes103T00000XBehavioral Health & Social Service ProvidersPsychologist