Provider Demographics
NPI:1316618523
Name:ROUNDS, JULIA M (MS PSYCHOLOGY)
Entity type:Individual
Prefix:
First Name:JULIA
Middle Name:M
Last Name:ROUNDS
Suffix:
Gender:F
Credentials:MS PSYCHOLOGY
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:1147 E GRAND AVE STE 106
Mailing Address - Street 2:
Mailing Address - City:ARROYO GRANDE
Mailing Address - State:CA
Mailing Address - Zip Code:93420-4731
Mailing Address - Country:US
Mailing Address - Phone:805-270-5626
Mailing Address - Fax:
Practice Address - Street 1:1147 E GRAND AVE STE 106
Practice Address - Street 2:
Practice Address - City:ARROYO GRANDE
Practice Address - State:CA
Practice Address - Zip Code:93420-4731
Practice Address - Country:US
Practice Address - Phone:805-270-5626
Practice Address - Fax:
Is Sole Proprietor?:No
Enumeration Date:2021-09-27
Last Update Date:2021-09-27
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
CA124298106H00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes106H00000XBehavioral Health & Social Service ProvidersMarriage & Family Therapist