Provider Demographics
NPI:1174145056
Name:NACHMAN, JULIE ANNE
Entity type:Individual
Prefix:MS
First Name:JULIE
Middle Name:ANNE
Last Name:NACHMAN
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 1:2109 MANADA TRL
Mailing Address - Street 2:
Mailing Address - City:CEDAR PARK
Mailing Address - State:TX
Mailing Address - Zip Code:78641-2739
Mailing Address - Country:US
Mailing Address - Phone:512-293-4349
Mailing Address - Fax:
Practice Address - Street 1:1101 SATELLITE VW UNIT 501
Practice Address - Street 2:
Practice Address - City:ROUND ROCK
Practice Address - State:TX
Practice Address - Zip Code:78665-1591
Practice Address - Country:US
Practice Address - Phone:512-293-4349
Practice Address - Fax:
Is Sole Proprietor?:Yes
Enumeration Date:2020-05-13
Last Update Date:2020-05-13
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
TX64003103TC0700X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes103TC0700XBehavioral Health & Social Service ProvidersPsychologistClinical