Basic Information
| Provider Information | |||||||||
| NPI: | 1821138561 | ||||||||
| EntityType: | 2 | ||||||||
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| OrganizationName: | JULIANNE SOBEL PSY.D. A PSYCHOLOGY CORPORATION | ||||||||
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| Mailing Information | |||||||||
| Address1: | 9171 WILSHIRE BLVD PH | ||||||||
| Address2: | |||||||||
| City: | BEVERLY HILLS | ||||||||
| State: | CA | ||||||||
| PostalCode: | 902105532 | ||||||||
| CountryCode: | US | ||||||||
| TelephoneNumber: | 3108587733 | ||||||||
| FaxNumber: | 3102731818 | ||||||||
| Practice Location | |||||||||
| Address1: | 9171 WILSHIRE BLVD PH | ||||||||
| Address2: | |||||||||
| City: | BEVERLY HILLS | ||||||||
| State: | CA | ||||||||
| PostalCode: | 902105532 | ||||||||
| CountryCode: | US | ||||||||
| TelephoneNumber: | 3108587733 | ||||||||
| FaxNumber: | 3102731818 | ||||||||
| Other Information | |||||||||
| ProviderEnumerationDate: | 02/08/2007 | ||||||||
| LastUpdateDate: | 08/22/2020 | ||||||||
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| AuthorizedOfficialLastName: | SOBEL | ||||||||
| AuthorizedOfficialFirstName: | JULIANNE | ||||||||
| AuthorizedOfficialMiddleName: | MAE | ||||||||
| AuthorizedOfficialTitleorPosition: | CLINICAL PSYCHOLOGIST | ||||||||
| AuthorizedOfficialTelephone: | 3108587733 | ||||||||
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| IsOrganizationSubpart: | N | ||||||||
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| AuthorizedOfficialNamePrefix: | DR. | ||||||||
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| AuthorizedOfficialCredential: | PSY.D. | ||||||||
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Taxonomy Information
| Taxonomy | License | State | Switch | TaxonomyGroup | TaxonomyType | TaxonomyClass | SubSpecialty | 103TC0700X | PSY11412 | CA | Y | 193400000X SINGLE SPECIALTY GROUP | Behavioral Health & Social Service Providers | Psychologist | Clinical |
No ID Information.