Provider Demographics
NPI:1023430030
Name:AMAN, JULIE ANN (OTR/L)
Entity type:Individual
Prefix:
First Name:JULIE
Middle Name:ANN
Last Name:AMAN
Suffix:
Gender:F
Credentials:OTR/L
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:1924 N 16TH ST UNIT 4
Mailing Address - Street 2:
Mailing Address - City:BISMARCK
Mailing Address - State:ND
Mailing Address - Zip Code:58501-2061
Mailing Address - Country:US
Mailing Address - Phone:701-400-2378
Mailing Address - Fax:
Practice Address - Street 1:311 N 11TH ST
Practice Address - Street 2:
Practice Address - City:BISMARCK
Practice Address - State:ND
Practice Address - Zip Code:58501-4539
Practice Address - Country:US
Practice Address - Phone:701-530-7256
Practice Address - Fax:701-530-7257
Is Sole Proprietor?:No
Enumeration Date:2014-01-09
Last Update Date:2014-01-09
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
ND695101YM0800X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes101YM0800XBehavioral Health & Social Service ProvidersCounselorMental Health