Provider Demographics
NPI:1427180991
Name:SOWELL, JULIE M (MS)
Entity Type:Individual
Prefix:MRS
First Name:JULIE
Middle Name:M
Last Name:SOWELL
Suffix:
Gender:F
Credentials:MS
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:171 BUNKER HILL AVE
Mailing Address - Street 2:
Mailing Address - City:WATERBURY
Mailing Address - State:CT
Mailing Address - Zip Code:06708-2224
Mailing Address - Country:US
Mailing Address - Phone:203-573-9449
Mailing Address - Fax:203-264-5056
Practice Address - Street 1:171 BUNKER HILL AVE
Practice Address - Street 2:
Practice Address - City:WATERBURY
Practice Address - State:CT
Practice Address - Zip Code:06708-2224
Practice Address - Country:US
Practice Address - Phone:203-573-9449
Practice Address - Fax:203-264-5056
Is Sole Proprietor?:Yes
Enumeration Date:2007-03-11
Last Update Date:2007-07-08
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
CT000867106H00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes106H00000XBehavioral Health & Social Service ProvidersMarriage & Family Therapist