Provider Demographics
NPI:1366656340
Name:STANCLIFF, JULIE (DO)
Entity Type:Individual
Prefix:
First Name:JULIE
Middle Name:
Last Name:STANCLIFF
Suffix:
Gender:F
Credentials:DO
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:120 S HAYS ST
Mailing Address - Street 2:
Mailing Address - City:BEL AIR
Mailing Address - State:MD
Mailing Address - Zip Code:21014-3615
Mailing Address - Country:US
Mailing Address - Phone:410-877-2340
Mailing Address - Fax:410-638-4954
Practice Address - Street 1:120 S HAYS ST STE 300
Practice Address - Street 2:
Practice Address - City:BEL AIR
Practice Address - State:MD
Practice Address - Zip Code:21014-3659
Practice Address - Country:US
Practice Address - Phone:410-877-2340
Practice Address - Fax:410-638-4954
Is Sole Proprietor?:No
Enumeration Date:2007-05-09
Last Update Date:2020-01-21
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
MDH00575162084P0800X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes2084P0800XAllopathic & Osteopathic PhysiciansPsychiatry & NeurologyPsychiatry