Provider Demographics
NPI:1639331168
Name:DEMARCO, JULIE ANN
Entity Type:Individual
Prefix:MS
First Name:JULIE
Middle Name:ANN
Last Name:DEMARCO
Suffix:
Gender:F
Credentials:
Other - Prefix:MRS
Other - First Name:JULIE
Other - Middle Name:ANN
Other - Last Name:DEMARCO-ZIMMERMAN
Other - Suffix:
Other - Last Name Type:Other Name
Other - Credentials:MS,
Mailing Address - Street 1:8284 CLINTON WAY LN
Mailing Address - Street 2:
Mailing Address - City:CORDOVA
Mailing Address - State:TN
Mailing Address - Zip Code:38018-6305
Mailing Address - Country:US
Mailing Address - Phone:901-283-6455
Mailing Address - Fax:
Practice Address - Street 1:8284 CLINTON WAY LN
Practice Address - Street 2:
Practice Address - City:CORDOVA
Practice Address - State:TN
Practice Address - Zip Code:38018-6305
Practice Address - Country:US
Practice Address - Phone:901-283-6455
Practice Address - Fax:
Is Sole Proprietor?:Yes
Enumeration Date:2008-06-26
Last Update Date:2008-06-26
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes103TB0200XBehavioral Health & Social Service ProvidersPsychologistCognitive & Behavioral