Individual
DR. JULIA A MOHR
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
PSY.D.
Contact information
Practice address
967 SPAULDING AVE SE, SUITE E, ADA, MI 49301-3700
(616) 956-9565
Mailing address
967 SPAULDING AVE SE, SUITE E, ADA, MI 49301-3700
(616) 956-9565
Taxonomy
Speciality
Code
Description
License number
State
103T00000X
Psychologist
Primary
6301010680
MI
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
68-0-D1-1279-0
BLUE CROSS BLUE SHIELD
—
Enumeration date
03/13/2007
Last updated
01/10/2009
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