Doctor Name: | DR. STACEY JULYE |
NPI Number: | 1245615665 |
Entity Type Code: | Individual (1) |
Gender: | F |
Credentials: | PH.D. MSS |
License Number: | CW014429 |
Business Practice Address: | 110 W Greenwood Ave Lansdowne, PA - 190501866 |
Business Phone Number: | 6104279368 |
Business Fax Number: | |
Mailing Address: | 110 W Greenwood Ave, LANSDOWNE |
State: | PA |
Postal Code: | 190501866 |
Phone Number: | 6104279368 |
Fax Number: | |
NPI Enumeration Date: | 07/27/2015 |
NPI Last Update Date: | 07/27/2015 |
Replacement NPI: | 0 |
NPI Deactivation Date: | |
NPI Reactivation Date: |
Taxonomy Information: | |
Healthcare Provider Taxonomy: | 1041C0700X |
License Number: | CW014429 |
Healthcare Provider Taxonomy: (Secondary) | Y |
State: | PA |
Taxonomy Type: | Behavioral Health & Social Service Providers |
Taxonomy Classification: | Social Worker |
Taxonomy Specialization: | Clinical |
Taxonomy Definition: | A social worker who holds a master |