Provider Demographics
NPI:1023394772
Name:DEWEY, JULIA JANE HART (PHD)
Entity Type:Individual
Prefix:DR
First Name:JULIA JANE
Middle Name:HART
Last Name:DEWEY
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 1:6507 TRANSIT RD STE B
Mailing Address - Street 2:
Mailing Address - City:EAST AMHERST
Mailing Address - State:NY
Mailing Address - Zip Code:14051-1427
Mailing Address - Country:US
Mailing Address - Phone:917-971-5263
Mailing Address - Fax:716-204-2761
Practice Address - Street 1:6507 TRANSIT RD STE B
Practice Address - Street 2:
Practice Address - City:EAST AMHERST
Practice Address - State:NY
Practice Address - Zip Code:14051-1427
Practice Address - Country:US
Practice Address - Phone:917-971-5263
Practice Address - Fax:716-204-2761
Is Sole Proprietor?:No
Enumeration Date:2011-10-26
Last Update Date:2023-01-30
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
NY019791-1103T00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes103T00000XBehavioral Health & Social Service ProvidersPsychologist