Provider Demographics
NPI:1407883028
Name:MERCHANT, JULIE WOOD (MA, ATR-BC, CPP)
Entity Type:Individual
Prefix:
First Name:JULIE
Middle Name:WOOD
Last Name:MERCHANT
Suffix:
Gender:F
Credentials:MA, ATR-BC, CPP
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:712 TRAIL AVE
Mailing Address - Street 2:
Mailing Address - City:FREDERICK
Mailing Address - State:MD
Mailing Address - Zip Code:21701-4521
Mailing Address - Country:US
Mailing Address - Phone:301-663-5261
Mailing Address - Fax:
Practice Address - Street 1:FREDERICK COUNTY HEALTH DEPARTMENT SUBSTANCE ABUSE DIV.
Practice Address - Street 2:350 MONTEVUE LANE
Practice Address - City:FREDERICK
Practice Address - State:MD
Practice Address - Zip Code:21702
Practice Address - Country:US
Practice Address - Phone:301-631-3281
Practice Address - Fax:
Is Sole Proprietor?:No
Enumeration Date:2006-06-27
Last Update Date:2007-07-08
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes221700000XRespiratory, Developmental, Rehabilitative and Restorative Service ProvidersArt Therapist