Provider Demographics
NPI:1528545274
Name:MORONEY, JULIA CATHERINE
Entity Type:Individual
Prefix:MRS
First Name:JULIA
Middle Name:CATHERINE
Last Name:MORONEY
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 1:3279 FIELDS CT
Mailing Address - Street 2:
Mailing Address - City:DECATUR
Mailing Address - State:IL
Mailing Address - Zip Code:62521-4814
Mailing Address - Country:US
Mailing Address - Phone:309-287-5828
Mailing Address - Fax:
Practice Address - Street 1:3279 FIELDS CT
Practice Address - Street 2:
Practice Address - City:DECATUR
Practice Address - State:IL
Practice Address - Zip Code:62521-4814
Practice Address - Country:US
Practice Address - Phone:309-287-5828
Practice Address - Fax:
Is Sole Proprietor?:Yes
Enumeration Date:2018-07-25
Last Update Date:2018-07-25
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes222Q00000XRespiratory, Developmental, Rehabilitative and Restorative Service ProvidersDevelopmental Therapist