Primary | Taxonomy Code | Taxonomy Specialty | License Number | License State |
---|---|---|---|---|
Y | 103G00000X | Clinical Psychologist | 168204 | KY |
Y | 103TC0700X | Clinical Psychologist | 168204 | KY |
NPI | 1003956574 |
---|---|
Provider Name | Ms. Julia Housiaux Caldwell |
First Address | Milwaukee, WI 53217-4249 |
Second Address | Lexington, KY 40502-2215 |
Gender | F |
NPI Entity type | Individual |
Is Sole Proprietor | Yes |
Is Organization Subpart | N/A |
Enumeration Date | 07/02/2007 |
Last Update Date | 08/05/2018 |