Provider Demographics
NPI:1003839226
Name:JULIAN, TERRI (PHD)
Entity Type:Individual
Prefix:DR
First Name:TERRI
Middle Name:
Last Name:JULIAN
Suffix:
Gender:F
Credentials:PHD
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:1020 PARK AVE
Mailing Address - Street 2:# 610
Mailing Address - City:BALTIMORE
Mailing Address - State:MD
Mailing Address - Zip Code:21201-5640
Mailing Address - Country:US
Mailing Address - Phone:410-637-4749
Mailing Address - Fax:
Practice Address - Street 1:31 HOPKINS PLZ
Practice Address - Street 2:G045
Practice Address - City:BALTIMORE
Practice Address - State:MD
Practice Address - Zip Code:21201-2825
Practice Address - Country:US
Practice Address - Phone:410-637-4749
Practice Address - Fax:
Is Sole Proprietor?:Yes
Enumeration Date:2006-07-26
Last Update Date:2012-11-13
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
NY012563103TC0700X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes103TC0700XBehavioral Health & Social Service ProvidersPsychologistClinical