Provider Demographics
NPI:1376092122
Name:HAGGARTY, JULIA KAY (MSW)
Entity Type:Individual
Prefix:MS
First Name:JULIA
Middle Name:KAY
Last Name:HAGGARTY
Suffix:
Gender:F
Credentials:MSW
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:42 BRAY ST
Mailing Address - Street 2:
Mailing Address - City:GLOUCESTER
Mailing Address - State:MA
Mailing Address - Zip Code:01930-1555
Mailing Address - Country:US
Mailing Address - Phone:978-381-3339
Mailing Address - Fax:
Practice Address - Street 1:42 BRAY ST
Practice Address - Street 2:
Practice Address - City:GLOUCESTER
Practice Address - State:MA
Practice Address - Zip Code:01930-1555
Practice Address - Country:US
Practice Address - Phone:978-381-3339
Practice Address - Fax:
Is Sole Proprietor?:Yes
Enumeration Date:2016-09-21
Last Update Date:2020-06-09
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes101YM0800XBehavioral Health & Social Service ProvidersCounselorMental Health