Provider Demographics
NPI:1275398513
Name:MCGLYNN, JULIE KATHERINE
Entity Type:Individual
Prefix:
First Name:JULIE
Middle Name:KATHERINE
Last Name:MCGLYNN
Suffix:
Gender:F
Credentials:
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:221 OAKLAND PL
Mailing Address - Street 2:
Mailing Address - City:NORTH WALES
Mailing Address - State:PA
Mailing Address - Zip Code:19454-2437
Mailing Address - Country:US
Mailing Address - Phone:267-664-7465
Mailing Address - Fax:
Practice Address - Street 1:100 S BROAD ST STE 1920
Practice Address - Street 2:
Practice Address - City:PHILADELPHIA
Practice Address - State:PA
Practice Address - Zip Code:19110-1064
Practice Address - Country:US
Practice Address - Phone:267-664-7465
Practice Address - Fax:
Is Sole Proprietor?:No
Enumeration Date:2024-02-15
Last Update Date:2024-02-15
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes101YM0800XBehavioral Health & Social Service ProvidersCounselorMental Health