Provider Demographics
NPI:1588875868
Name:LOU, JULIA (PHD)
Entity type:Individual
Prefix:DR
First Name:JULIA
Middle Name:
Last Name:LOU
Suffix:
Gender:F
Credentials:PHD
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:2051 CYPRESS CREEK RD
Mailing Address - Street 2:SUITE M
Mailing Address - City:CEDAR PARK
Mailing Address - State:TX
Mailing Address - Zip Code:78613-3623
Mailing Address - Country:US
Mailing Address - Phone:512-585-6934
Mailing Address - Fax:512-250-1769
Practice Address - Street 1:902 CRYSTAL FALLS PKWY
Practice Address - Street 2:
Practice Address - City:LEANDER
Practice Address - State:TX
Practice Address - Zip Code:78641-3646
Practice Address - Country:US
Practice Address - Phone:512-260-1299
Practice Address - Fax:512-250-1769
Is Sole Proprietor?:No
Enumeration Date:2007-05-25
Last Update Date:2007-07-19
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
TX32559103TC0700X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes103TC0700XBehavioral Health & Social Service ProvidersPsychologistClinical