Provider Demographics
NPI:1588005730
Name:CUSHMAN, JULIE DOLINGER (LMSW, ACSW, CAADC)
Entity Type:Individual
Prefix:MS
First Name:JULIE
Middle Name:DOLINGER
Last Name:CUSHMAN
Suffix:
Gender:F
Credentials:LMSW, ACSW, CAADC
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:3800 PACKARD ST
Mailing Address - Street 2:STE 210
Mailing Address - City:ANN ARBOR
Mailing Address - State:MI
Mailing Address - Zip Code:48108-2073
Mailing Address - Country:US
Mailing Address - Phone:734-975-1602
Mailing Address - Fax:734-975-1604
Practice Address - Street 1:3800 PACKARD ST
Practice Address - Street 2:STE 210
Practice Address - City:ANN ARBOR
Practice Address - State:MI
Practice Address - Zip Code:48108-2073
Practice Address - Country:US
Practice Address - Phone:734-975-1602
Practice Address - Fax:734-975-1604
Is Sole Proprietor?:Yes
Enumeration Date:2013-07-16
Last Update Date:2013-07-16
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
MI68010881501041C0700X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes1041C0700XBehavioral Health & Social Service ProvidersSocial WorkerClinical