Provider Demographics
NPI:1619006384
Name:FAUDE, JULIE ABRAMS (PHD)
Entity Type:Individual
Prefix:DR
First Name:JULIE
Middle Name:ABRAMS
Last Name:FAUDE
Suffix:
Gender:F
Credentials:PHD
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:220 SPRUCE TREE RD
Mailing Address - Street 2:
Mailing Address - City:RADNOR
Mailing Address - State:PA
Mailing Address - Zip Code:19087-3716
Mailing Address - Country:US
Mailing Address - Phone:610-687-8901
Mailing Address - Fax:
Practice Address - Street 1:BLOOMINGDALE PSYCHOLOGICAL SERVICES BUILDING
Practice Address - Street 2:141 WEST WAYNE AVE
Practice Address - City:WAYNE
Practice Address - State:PA
Practice Address - Zip Code:19087
Practice Address - Country:US
Practice Address - Phone:610-687-8901
Practice Address - Fax:
Is Sole Proprietor?:Yes
Enumeration Date:2007-03-05
Last Update Date:2007-07-08
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
PAPS007753-L103TC0700X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes103TC0700XBehavioral Health & Social Service ProvidersPsychologistClinical