Provider Demographics
NPI:1053728071
Name:ALPEROVICH, JULIA (LMFT)
Entity type:Individual
Prefix:
First Name:JULIA
Middle Name:
Last Name:ALPEROVICH
Suffix:
Gender:F
Credentials:LMFT
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:15207 MAGNOLIA BLVD UNIT 208
Mailing Address - Street 2:
Mailing Address - City:SHERMAN OAKS
Mailing Address - State:CA
Mailing Address - Zip Code:91403-1111
Mailing Address - Country:US
Mailing Address - Phone:551-579-0982
Mailing Address - Fax:
Practice Address - Street 1:1335 EL CAMINO REAL
Practice Address - Street 2:APT 306
Practice Address - City:BURLINGAME
Practice Address - State:CA
Practice Address - Zip Code:94010-4713
Practice Address - Country:US
Practice Address - Phone:551-579-0982
Practice Address - Fax:
Is Sole Proprietor?:Yes
Enumeration Date:2014-07-22
Last Update Date:2019-02-09
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
CALMFT104657106H00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes106H00000XBehavioral Health & Social Service ProvidersMarriage & Family TherapistGroup - Single Specialty
Provider Identifiers
StateIdentifier IDID TypeIssuer
CA83-1592074OtherIRS