Primary | Taxonomy Code | Taxonomy Specialty | License Number | License State |
---|---|---|---|---|
N | 101Y00000X | Counselor | 071008995 | IL |
N | 101YM0800X | Mental Health Counselor | 071008995 | IL |
Y | 103G00000X | Clinical Psychologist | 071008995 | IL |
Y | 103TC0700X | Clinical Psychologist | 071008995 | IL |
N | 102L00000X | Psychologist | 071008995 | IL |
N | 103T00000X | Psychologist | 071008995 | IL |
N | 103TA0700X | Adult Development & Aging Psychologist | 071008995 | IL |
N | 103G00000X | Clinical Psychologist | 071008995 | IL |
N | 103TC0700X | Clinical Psychologist | 071008995 | IL |
N | 103TC1900X | Counseling Psychologist | 071008995 | IL |
N | 103TF0200X | Forensic Psychologist | 071008995 | IL |
N | 103TH0004X | Health Psychologist | 071008995 | IL |
N | 103TH0100X | Health Service | 071008995 | IL |
N | 103TM1800X | Intellectual & Developmental Disabilities | 071008995 | IL |
N | 103TP2701X | Group Psychotherapist | 071008995 | IL |
N | 103TR0400X | Rehabilitation Psychologist | 071008995 | IL |
NPI | 1477933752 |
---|---|
Provider Name | Dr. Julia Rao |
First Address | New York, NY 10016-6055 |
Second Address | New York, NY 10016-6055 |
Gender | F |
NPI Entity type | Individual |
Is Sole Proprietor | Yes |
Is Organization Subpart | N/A |
Enumeration Date | 02/06/2015 |
Last Update Date | 26/03/2021 |