Provider Demographics
NPI:1164116729
Name:JULIANO, MARC ANTHONY (LPC)
Entity Type:Individual
Prefix:
First Name:MARC
Middle Name:ANTHONY
Last Name:JULIANO
Suffix:
Gender:M
Credentials:LPC
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:319 N PENNSYLVANIA AVE
Mailing Address - Street 2:
Mailing Address - City:MORRISVILLE
Mailing Address - State:PA
Mailing Address - Zip Code:19067-6620
Mailing Address - Country:US
Mailing Address - Phone:610-659-5277
Mailing Address - Fax:
Practice Address - Street 1:50 JAMES BUCHANAN RD
Practice Address - Street 2:
Practice Address - City:THORNDALE
Practice Address - State:PA
Practice Address - Zip Code:19372-1132
Practice Address - Country:US
Practice Address - Phone:610-200-6222
Practice Address - Fax:
Is Sole Proprietor?:Yes
Enumeration Date:2023-06-06
Last Update Date:2023-06-06
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
PAPC015680101YM0800X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes101YM0800XBehavioral Health & Social Service ProvidersCounselorMental Health