| Organization Name: | JULIA FISCHETTO, MS,PA |
| NPI Number: | 1427473016 |
| Entity Type Code: | Organizational (2) |
| Authorized Official Name: | JULIA FISCHETTO LUCILLE FISCHETTO (PSYCHOTHERAPIST/PRESIDENT) |
| Mailing Address: | 218 Commercial Blvd Ste 201h Lauderdale By The Sea |
| State: | FL US |
| Postal Code: | 333084455 |
| Phone Number: | 9544919040 |
| Fax Number: | 9544920334 |
| NPI Enumeration Date: | 02/19/2014 |
| NPI Last Update Date: | 02/19/2014 |
| Replacement NPI: | 0 |
| NPI Deactivation Date: | |
| NPI Reactivation Date: |
Taxonomy Information: | |
| Healthcare Provider Taxonomy: | 101YM0800X |
| License Number: | MH 0003922 |
| Healthcare Provider Taxonomy: (Secondary) | Y |
| State: | FL |
| Taxonomy Type: | Behavioral Health & Social Service Providers |
| Taxonomy Classification: | Counselor |
| Taxonomy Specialization: | Mental Health |
| Taxonomy Definition: | |