Individual
JULIA EMMA NAIDITCH
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
ATR-BC, LPAT
Contact information
Practice address
1935 GARDINER LN APT A4, LOUISVILLE, KY 40205-2827
(502) 500-1414
Mailing address
4010 DUPONT CIR STE 582, LOUISVILLE, KY 40207-4888
(502) 424-2562
Taxonomy
Speciality
Code
Description
License number
State
221700000X
Art Therapist
Primary
241448
KY
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
7100634400
—
KY
Enumeration date
05/17/2019
Last updated
01/21/2021
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