| Doctor Name: | JULIE MONGERI-MCPHERSON |
| NPI Number: | 1003291840 |
| Entity Type Code: | Individual (1) |
| Gender: | F |
| Credentials: | |
| License Number: | 28174599A |
| Business Practice Address: | 240 N Tillotson Ave Muncie, IN - 473043988 |
| Business Phone Number: | 7652881928 |
| Business Fax Number: | 7657410359 |
| Mailing Address: | 2401 W University Ave Fl 3, MUNCIE |
| State: | IN |
| Postal Code: | 473033428 |
| Phone Number: | 7657474409 |
| Fax Number: | 7657511701 |
| NPI Enumeration Date: | 07/22/2015 |
| NPI Last Update Date: | 02/12/2016 |
| Replacement NPI: | 0 |
| NPI Deactivation Date: | |
| NPI Reactivation Date: |
Taxonomy Information: | |
| Healthcare Provider Taxonomy: | 390200000X |
| License Number: | 28174599A |
| Healthcare Provider Taxonomy: (Secondary) | N |
| State: | IN |
| Taxonomy Type: | Student, Health Care |
| Taxonomy Classification: | Student in an Organized Health Care Education/Training Program |
| Taxonomy Specialization: | |
| Taxonomy Definition: | An individual who is enrolled in an organized health care education/training program leading to a degree, certification, registration, and/or licensure to provide health care. |