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Provider Information for 1740593086


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JULIE CALDWELL MS LMFT


Sex: Female

NPI: 1740593086
Last Updated: 2010-07-15
Certification Date:

Details

NameValue
NPI1740593086
Enumeration Date2010-07-15
NPI TypeNPI-1 Individual
Sole ProprietorYES
StatusActive
Mailing Address 3314 W LINKS DR
ANTHEM, AZ 85086-2737
United States

Phone: 602-791-0894 | Fax:
 
Primary Practice Address 39905 N GAVILAN PEAK PKWY
ANTHEM, AZ 85086-2521
United States

Phone: 602-791-0894 | Fax:
 
Secondary Practice Address(es)
Health Information Exchange
Endpoint TypeEndpointEndpoint DescriptionUseContent TypeAffiliationEndpoint Location
Other Identifiers
IssuerStateNumberOther Issuer
Taxonomy
Primary TaxonomySelected TaxonomyStateLicense Number
Yes 106H00000X - Marriage & Family Therapist AZ10298