Provider Demographics
NPI:1386036010
Name:LOTIN, JULIA
Entity Type:Individual
Prefix:
First Name:JULIA
Middle Name:
Last Name:LOTIN
Suffix:
Gender:F
Credentials:
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:9 COBBLESTONE LN
Mailing Address - Street 2:
Mailing Address - City:MIDDLEBORO
Mailing Address - State:MA
Mailing Address - Zip Code:02346-4218
Mailing Address - Country:US
Mailing Address - Phone:857-334-6074
Mailing Address - Fax:
Practice Address - Street 1:9 COBBLESTONE LN
Practice Address - Street 2:
Practice Address - City:MIDDLEBORO
Practice Address - State:MA
Practice Address - Zip Code:02346-4218
Practice Address - Country:US
Practice Address - Phone:857-334-6074
Practice Address - Fax:
Is Sole Proprietor?:No
Enumeration Date:2015-03-04
Last Update Date:2023-10-18
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes101YM0800XBehavioral Health & Social Service ProvidersCounselorMental Health