Provider Demographics
NPI:1902449648
Name:CATOE, JULIE LYNNE
Entity Type:Individual
Prefix:
First Name:JULIE
Middle Name:LYNNE
Last Name:CATOE
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 1:1953 S 1600 E
Mailing Address - Street 2:
Mailing Address - City:SLC
Mailing Address - State:UT
Mailing Address - Zip Code:84105-3846
Mailing Address - Country:US
Mailing Address - Phone:808-294-7577
Mailing Address - Fax:
Practice Address - Street 1:1953 S 1600 E
Practice Address - Street 2:
Practice Address - City:SLC
Practice Address - State:UT
Practice Address - Zip Code:84105-3846
Practice Address - Country:US
Practice Address - Phone:808-294-7577
Practice Address - Fax:
Is Sole Proprietor?:No
Enumeration Date:2019-10-25
Last Update Date:2019-10-25
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
UT5137960-6009101YM0800X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes101YM0800XBehavioral Health & Social Service ProvidersCounselorMental Health