Provider Demographics
NPI:1407194749
Name:SHULMAN, JULIEANNE (PSYD)
Entity Type:Individual
Prefix:
First Name:JULIEANNE
Middle Name:
Last Name:SHULMAN
Suffix:
Gender:F
Credentials:PSYD
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:92 SPRAGUE RD
Mailing Address - Street 2:
Mailing Address - City:SCARSDALE
Mailing Address - State:NY
Mailing Address - Zip Code:10583-6243
Mailing Address - Country:US
Mailing Address - Phone:646-418-6419
Mailing Address - Fax:
Practice Address - Street 1:92 SPRAGUE RD
Practice Address - Street 2:
Practice Address - City:SCARSDALE
Practice Address - State:NY
Practice Address - Zip Code:10583-6243
Practice Address - Country:US
Practice Address - Phone:646-418-6419
Practice Address - Fax:
Is Sole Proprietor?:No
Enumeration Date:2013-01-22
Last Update Date:2013-01-22
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
NY019423-1103TC0700X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes103TC0700XBehavioral Health & Social Service ProvidersPsychologistClinical