Provider Demographics
NPI:1376241570
Name:MEGAN M. JULIAN, PH.D.
Entity Type:Organization
Organization Name:MEGAN M. JULIAN, PH.D.
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:OWNER
Authorized Official - Prefix:DR
Authorized Official - First Name:MEGAN
Authorized Official - Middle Name:M
Authorized Official - Last Name:JULIAN
Authorized Official - Suffix:
Authorized Official - Credentials:PHD
Authorized Official - Phone:734-600-0284
Mailing Address - Street 1:817 BERKSHIRE RD
Mailing Address - Street 2:
Mailing Address - City:ANN ARBOR
Mailing Address - State:MI
Mailing Address - Zip Code:48104-2630
Mailing Address - Country:US
Mailing Address - Phone:847-309-0086
Mailing Address - Fax:
Practice Address - Street 1:817 BERKSHIRE RD
Practice Address - Street 2:
Practice Address - City:ANN ARBOR
Practice Address - State:MI
Practice Address - Zip Code:48104-2630
Practice Address - Country:US
Practice Address - Phone:847-309-0086
Practice Address - Fax:
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2023-02-17
Last Update Date:2023-02-17
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes261QM0855XAmbulatory Health Care FacilitiesClinic/CenterAdolescent and Children Mental Health
No261QM0801XAmbulatory Health Care FacilitiesClinic/CenterMental Health (Including Community Mental Health Center)