Provider Demographics
NPI:1699366575
Name:HERSEY, JULIANNA
Entity Type:Individual
Prefix:
First Name:JULIANNA
Middle Name:
Last Name:HERSEY
Suffix:
Gender:F
Credentials:
Other - Prefix:
Other - First Name:JULIANNA
Other - Middle Name:
Other - Last Name:GUSLER
Other - Suffix:
Other - Last Name Type:Former Name
Other - Credentials:
Mailing Address - Street 1:4600 GARFIELD RD
Mailing Address - Street 2:
Mailing Address - City:AUBURN
Mailing Address - State:MI
Mailing Address - Zip Code:48611-9369
Mailing Address - Country:US
Mailing Address - Phone:269-389-0265
Mailing Address - Fax:
Practice Address - Street 1:4600 GARFIELD RD
Practice Address - Street 2:
Practice Address - City:AUBURN
Practice Address - State:MI
Practice Address - Zip Code:48611-9369
Practice Address - Country:US
Practice Address - Phone:269-389-0265
Practice Address - Fax:
Is Sole Proprietor?:No
Enumeration Date:2021-02-02
Last Update Date:2021-02-02
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes106S00000XBehavioral Health & Social Service ProvidersBehavior Technician