Basic Information
| Provider Information | |||||||||
| NPI: | 1992953111 | ||||||||
| EntityType: | 1 | ||||||||
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| OrganizationName: | |||||||||
| LastName: | OSUJI | ||||||||
| FirstName: | JULIAN | ||||||||
| MiddleName: | I | ||||||||
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| Credential: | PHD | ||||||||
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| Mailing Information | |||||||||
| Address1: | 1400 PRESTON RD | ||||||||
| Address2: | STE 400 | ||||||||
| City: | PLANO | ||||||||
| State: | TX | ||||||||
| PostalCode: | 750935189 | ||||||||
| CountryCode: | US | ||||||||
| TelephoneNumber: | 2143457355 | ||||||||
| FaxNumber: | 2143452682 | ||||||||
| Practice Location | |||||||||
| Address1: | 8200 WALNUT HILL LN | ||||||||
| Address2: | |||||||||
| City: | DALLAS | ||||||||
| State: | TX | ||||||||
| PostalCode: | 752314426 | ||||||||
| CountryCode: | US | ||||||||
| TelephoneNumber: | 2143457355 | ||||||||
| FaxNumber: | 2143452682 | ||||||||
| Other Information | |||||||||
| ProviderEnumerationDate: | 08/29/2008 | ||||||||
| LastUpdateDate: | 06/30/2016 | ||||||||
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| ProviderGenderCode: | M | ||||||||
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| IsSoleProprietor: | N | ||||||||
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Taxonomy Information
| Taxonomy | License | State | Switch | TaxonomyGroup | TaxonomyType | TaxonomyClass | SubSpecialty | 103T00000X | 33993 | TX | Y | Behavioral Health & Social Service Providers | Psychologist |
No ID Information.