Provider Demographics
NPI:1346531639
Name:DEBACKER, JULIE L (MD)
Entity Type:Individual
Prefix:DR
First Name:JULIE
Middle Name:L
Last Name:DEBACKER
Suffix:
Gender:F
Credentials:MD
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Mailing Address - Street 1:111 COLCHESTER AVE
Mailing Address - Street 2:UVM MEDICAL CENTER - DEPT. OF NEUROLOGY
Mailing Address - City:BURLINGTON
Mailing Address - State:VT
Mailing Address - Zip Code:05401-1473
Mailing Address - Country:US
Mailing Address - Phone:802-847-4589
Mailing Address - Fax:802-847-2461
Practice Address - Street 1:111 COLCHESTER AVE
Practice Address - Street 2:UVM MEDICAL CENTER - DEPT. OF NEUROLOGY
Practice Address - City:BURLINGTON
Practice Address - State:VT
Practice Address - Zip Code:05401-1473
Practice Address - Country:US
Practice Address - Phone:802-847-4589
Practice Address - Fax:802-847-2461
Is Sole Proprietor?:No
Enumeration Date:2011-04-21
Last Update Date:2021-12-06
Deactivation Date:
Deactivation Code:
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Provider Licenses
StateLicense IDTaxonomies
390200000X
VT042.00132142084N0400X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes2084N0400XAllopathic & Osteopathic PhysiciansPsychiatry & NeurologyNeurology
No390200000XStudent, Health CareStudent in an Organized Health Care Education/Training Program