Primary | Taxonomy Code | Taxonomy Specialty | License Number | License State |
---|---|---|---|---|
Y | 225XM0800X | Mental Health | 5258 | NC |
NPI | 1912084724 |
---|---|
Provider Name | Ms. Julie Ellen Reinecke Toporek |
First Address | Raleigh, NC 27609-3745 |
Second Address | Butner, NC 27509-1668 |
Gender | F |
NPI Entity type | Individual |
Is Sole Proprietor | Yes |
Is Organization Subpart | N/A |
Enumeration Date | 01/11/2006 |
Last Update Date | 01/05/2014 |