Provider Demographics
NPI:1679927149
Name:JULIUS, SUSAN M
Entity type:Individual
Prefix:MS
First Name:SUSAN
Middle Name:M
Last Name:JULIUS
Suffix:
Gender:F
Credentials:
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:7820 ESTATE TUTU VLY
Mailing Address - Street 2:
Mailing Address - City:ST THOMAS
Mailing Address - State:VI
Mailing Address - Zip Code:00802-1960
Mailing Address - Country:US
Mailing Address - Phone:340-998-4355
Mailing Address - Fax:
Practice Address - Street 1:7820 ESTATE TUTU VLY
Practice Address - Street 2:
Practice Address - City:ST THOMAS
Practice Address - State:VI
Practice Address - Zip Code:00802-1960
Practice Address - Country:US
Practice Address - Phone:340-998-4355
Practice Address - Fax:
Is Sole Proprietor?:Yes
Enumeration Date:2016-04-20
Last Update Date:2016-04-20
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes103TE1100XBehavioral Health & Social Service ProvidersPsychologistExercise & Sports