Provider Demographics
NPI:1346973807
Name:COLOMBO, JULIA (MS)
Entity Type:Individual
Prefix:
First Name:JULIA
Middle Name:
Last Name:COLOMBO
Suffix:
Gender:F
Credentials:MS
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:12 BASS ROCK RD
Mailing Address - Street 2:
Mailing Address - City:CAROLINA
Mailing Address - State:RI
Mailing Address - Zip Code:02812-1107
Mailing Address - Country:US
Mailing Address - Phone:401-666-0329
Mailing Address - Fax:
Practice Address - Street 1:90 JEFFERSON BLVD
Practice Address - Street 2:
Practice Address - City:WARWICK
Practice Address - State:RI
Practice Address - Zip Code:02888-1060
Practice Address - Country:US
Practice Address - Phone:401-999-8181
Practice Address - Fax:
Is Sole Proprietor?:No
Enumeration Date:2022-07-02
Last Update Date:2024-01-02
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes101YM0800XBehavioral Health & Social Service ProvidersCounselorMental Health