Provider Demographics
NPI:1043900509
Name:PAPESCH, JULIA
Entity type:Individual
Prefix:
First Name:JULIA
Middle Name:
Last Name:PAPESCH
Suffix:
Gender:F
Credentials:
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:1910 E PALM AVE APT 11108
Mailing Address - Street 2:
Mailing Address - City:TAMPA
Mailing Address - State:FL
Mailing Address - Zip Code:33605-3828
Mailing Address - Country:US
Mailing Address - Phone:216-501-1722
Mailing Address - Fax:
Practice Address - Street 1:16132 CHURCHVIEW DR STE 201
Practice Address - Street 2:
Practice Address - City:LITHIA
Practice Address - State:FL
Practice Address - Zip Code:33547-3850
Practice Address - Country:US
Practice Address - Phone:813-690-0113
Practice Address - Fax:
Is Sole Proprietor?:No
Enumeration Date:2023-05-09
Last Update Date:2023-05-09
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
FLSW214751041C0700X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes1041C0700XBehavioral Health & Social Service ProvidersSocial WorkerClinical