Provider Demographics
NPI:1447558143
Name:GARRISON, JULIE MARIE-EDGELL (MA, MT-BC)
Entity Type:Individual
Prefix:MRS
First Name:JULIE
Middle Name:MARIE-EDGELL
Last Name:GARRISON
Suffix:
Gender:F
Credentials:MA, MT-BC
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
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Other - Credentials:
Mailing Address - Street 1:4210 GRACE CIR
Mailing Address - Street 2:
Mailing Address - City:BEAVERCREEK
Mailing Address - State:OH
Mailing Address - Zip Code:45431-2983
Mailing Address - Country:US
Mailing Address - Phone:937-477-1087
Mailing Address - Fax:
Practice Address - Street 1:3511 DAYTON XENIA RD
Practice Address - Street 2:
Practice Address - City:BEAVERCREEK
Practice Address - State:OH
Practice Address - Zip Code:45432-2824
Practice Address - Country:US
Practice Address - Phone:937-477-1087
Practice Address - Fax:
Is Sole Proprietor?:No
Enumeration Date:2011-03-03
Last Update Date:2021-12-21
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes225A00000XRespiratory, Developmental, Rehabilitative and Restorative Service ProvidersMusic Therapist