Provider Demographics
NPI:1346286739
Name:SLATTERY, JULIANNA (PSYD)
Entity Type:Individual
Prefix:
First Name:JULIANNA
Middle Name:
Last Name:SLATTERY
Suffix:
Gender:F
Credentials:PSYD
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:6929 W 130TH ST
Mailing Address - Street 2:SUITE 500
Mailing Address - City:PARMA HEIGHTS
Mailing Address - State:OH
Mailing Address - Zip Code:44130-7878
Mailing Address - Country:US
Mailing Address - Phone:440-842-6867
Mailing Address - Fax:440-842-8914
Practice Address - Street 1:6929 W 130TH ST
Practice Address - Street 2:SUITE 500
Practice Address - City:PARMA HEIGHTS
Practice Address - State:OH
Practice Address - Zip Code:44130-7878
Practice Address - Country:US
Practice Address - Phone:440-842-6867
Practice Address - Fax:440-842-8914
Is Sole Proprietor?:No
Enumeration Date:2006-06-22
Last Update Date:2007-07-08
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
OH5672103T00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes103T00000XBehavioral Health & Social Service ProvidersPsychologist