Provider Demographics
NPI:1588788020
Name:JULIUS, MARY JANE (PSYD)
Entity type:Individual
Prefix:DR
First Name:MARY JANE
Middle Name:
Last Name:JULIUS
Suffix:
Gender:F
Credentials:PSYD
Other - Prefix:
Other - First Name:MARY JANE
Other - Middle Name:
Other - Last Name:STRAUB
Other - Suffix:
Other - Last Name Type:Former Name
Other - Credentials:
Mailing Address - Street 1:10200 SEPULVEDA BLVD STE 180
Mailing Address - Street 2:
Mailing Address - City:MISSION HILLS
Mailing Address - State:CA
Mailing Address - Zip Code:91345-2654
Mailing Address - Country:US
Mailing Address - Phone:818-693-6784
Mailing Address - Fax:
Practice Address - Street 1:10200 SEPULVEDA BLVD STE 180
Practice Address - Street 2:
Practice Address - City:MISSION HILLS
Practice Address - State:CA
Practice Address - Zip Code:91345-2654
Practice Address - Country:US
Practice Address - Phone:818-693-6784
Practice Address - Fax:
Is Sole Proprietor?:Yes
Enumeration Date:2007-03-19
Last Update Date:2019-02-15
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
CAPSY25196103TC0700X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes103TC0700XBehavioral Health & Social Service ProvidersPsychologistClinical