Provider Demographics
NPI:1356192140
Name:TOOP, JULIE
Entity type:Individual
Prefix:
First Name:JULIE
Middle Name:
Last Name:TOOP
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 1:437 BLACK CHERRY WAY
Mailing Address - Street 2:
Mailing Address - City:CONWAY
Mailing Address - State:SC
Mailing Address - Zip Code:29526-2654
Mailing Address - Country:US
Mailing Address - Phone:816-441-5222
Mailing Address - Fax:
Practice Address - Street 1:437 BLACK CHERRY WAY
Practice Address - Street 2:
Practice Address - City:CONWAY
Practice Address - State:SC
Practice Address - Zip Code:29526-2654
Practice Address - Country:US
Practice Address - Phone:816-441-5222
Practice Address - Fax:
Is Sole Proprietor?:Yes
Enumeration Date:2024-03-29
Last Update Date:2024-03-29
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes106S00000XBehavioral Health & Social Service ProvidersBehavior Technician