Provider Demographics
NPI:1912723933
Name:RAGHEB, JULIA D (MD)
Entity type:Individual
Prefix:MRS
First Name:JULIA
Middle Name:D
Last Name:RAGHEB
Suffix:
Gender:F
Credentials:MD
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:2122 WHITECHAPEL DR
Mailing Address - Street 2:
Mailing Address - City:TOLEDO
Mailing Address - State:OH
Mailing Address - Zip Code:43614-1106
Mailing Address - Country:US
Mailing Address - Phone:567-694-3596
Mailing Address - Fax:
Practice Address - Street 1:2122 WHITECHAPEL DR
Practice Address - Street 2:
Practice Address - City:TOLEDO
Practice Address - State:OH
Practice Address - Zip Code:43614-1106
Practice Address - Country:US
Practice Address - Phone:567-694-3596
Practice Address - Fax:
Is Sole Proprietor?:Yes
Enumeration Date:2024-11-25
Last Update Date:2024-11-25
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
OH103TA0700X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes103TA0700XBehavioral Health & Social Service ProvidersPsychologistAdult Development & Aging