JULIE ANN PRUDOM LPC
NPI 1639643802
Counselor - Professional in Appleton, WI

Q: What is Julie Prudom's NPI number?

The NPI number for Julie Prudom is 1639643802. It was assigned to this individual provider in the NPPES registry on January 21, 2019.

Q: What is Julie Prudom's specialty?

The primary specialty registered for this NPI is Counselor, specializing in Professional, with taxonomy code 101YP2500X.

Q: When was this NPI record last updated?

The NPPES record for Julie Prudom was last updated on January 21, 2019. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 7 years ago. If this record has changed at CMS more recently, you can request an on-demand re-check against the live CMS registry, directly from this page.

Active since January 21, 2019

524 W WAYFARER CT, APPLETON, WI 54913(920) 851-4041 Get Directions Write a Review

NPPES record last updated: January 21, 2019. Verified against the NPPES registry weekly; last sync: October 04, 2026.

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About Julie Ann Prudom Lpc NPPES

Official registry information on file with the National Plan and Provider Enumeration System.

JULIE ANN PRUDOM LPC (NPI 1639643802) is an individual professional provider in Appleton, Wisconsin, licensed in Wisconsin (1767-125) and active in the NPI registry since January 2019.

NPPES Registry Identity

NPI1639643802

Entity TypeIndividualFemale

Primary Taxonomy101YP2500X

Provider Legal NameJULIE ANN PRUDOMCredential: LPC

Location Address524 W WAYFARER CTAppleton, WI 54913-6865

Mailing Address524 W Wayfarer CtAppleton, WI 54913-6865 · (920) 851-4041

Phone(920) 851-4041

Sole ProprietorYes

Enumeration DateJanuary 21, 2019

✔ NPI 1639643802 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyCounselor · ProfessionalBehavioral Health & Social Service Providers

Taxonomy Code101YP2500X

License✔ Licensed in WI · 1767-125

524 W WAYFARER CT, Appleton, WI 54913

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Frequently Asked Questions NPPES & CMS

Common questions about this NPI record, answered from the official NPPES registry and CMS datasets shown on this page.

What is Julie Prudom's NPI number?

The NPI number for Julie Prudom is 1639643802. It was assigned to this individual provider in the NPPES registry on January 21, 2019.

Where is Julie Prudom located?

Julie Prudom practices at 524 W Wayfarer Ct, Appleton, WI 54913. The listed phone number is (920) 851-4041.

What is Julie Prudom's specialty?

The primary specialty registered for this NPI is Counselor, specializing in Professional, with taxonomy code 101YP2500X.

When was this NPI record last updated?

The NPPES record for Julie Prudom was last updated on January 21, 2019. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 7 years ago. If this record has changed at CMS more recently, you can request an on-demand re-check against the live CMS registry, directly from this page.