| Doctor Name: | JULIE POTISCHMAN |
| NPI Number: | 1083858013 |
| Entity Type Code: | Individual (1) |
| Gender: | F |
| Credentials: | LPC |
| License Number: | 37PC000028 |
| Business Practice Address: | 204 Eagle Rock Ave Roseland, NJ - 070681723 |
| Business Phone Number: | 9739927222 |
| Business Fax Number: | 9732261506 |
| Mailing Address: | 204 Eagle Rock Ave, ROSELAND |
| State: | NJ |
| Postal Code: | 070681723 |
| Phone Number: | 9739927222 |
| Fax Number: | 9732261506 |
| NPI Enumeration Date: | 04/21/2009 |
| NPI Last Update Date: | 04/21/2009 |
| Replacement NPI: | 0 |
| NPI Deactivation Date: | |
| NPI Reactivation Date: |
Taxonomy Information: | |
| Healthcare Provider Taxonomy: | 101YP2500X |
| License Number: | 37PC000028 |
| Healthcare Provider Taxonomy: (Secondary) | Y |
| State: | NJ |
| Taxonomy Type: | Behavioral Health & Social Service Providers |
| Taxonomy Classification: | Counselor |
| Taxonomy Specialization: | Professional |
| Taxonomy Definition: | |