Individual
DR. JULIE ANN CAJOLET-ECKHARDT
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
PSY.D.
Contact information
Practice address
3048 E BASELINE RD, SUITE 107, MESA, AZ 85204-7286
(323) 475-8543
(602) 293-3271
Mailing address
3048 E BASELINE RD, SUITE 107, MESA, AZ 85204-7286
(323) 475-8543
(602) 293-3271
Taxonomy
Speciality
Code
Description
License number
State
103T00000X
Psychologist
2801-057
WI
103T00000X
Psychologist
Primary
4561
AZ
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
43702600
—
WI
Enumeration date
01/17/2007
Last updated
12/04/2014
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