Provider Demographics
NPI:1730413857
Name:CRETU, JULIA BECKER (PSYD)
Entity type:Individual
Prefix:DR
First Name:JULIA
Middle Name:BECKER
Last Name:CRETU
Suffix:
Gender:F
Credentials:PSYD
Other - Prefix:
Other - First Name:JULIA
Other - Middle Name:JANICE
Other - Last Name:BECKER
Other - Suffix:
Other - Last Name Type:Former Name
Other - Credentials:
Mailing Address - Street 1:1440 CANAL ST # TB-48
Mailing Address - Street 2:OFFICE 1013
Mailing Address - City:NEW ORLEANS
Mailing Address - State:LA
Mailing Address - Zip Code:70112-2703
Mailing Address - Country:US
Mailing Address - Phone:504-554-4180
Mailing Address - Fax:
Practice Address - Street 1:1440 CANAL ST # TB-48
Practice Address - Street 2:OFFICE 1013
Practice Address - City:NEW ORLEANS
Practice Address - State:LA
Practice Address - Zip Code:70112-2703
Practice Address - Country:US
Practice Address - Phone:504-554-4180
Practice Address - Fax:
Is Sole Proprietor?:No
Enumeration Date:2009-09-22
Last Update Date:2014-09-09
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
LA1261103TC0700X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes103TC0700XBehavioral Health & Social Service ProvidersPsychologistClinical