Provider Demographics
NPI:1760057020
Name:SHERWOOD, JULIA ELIZABETH (MT-BC, LCAT)
Entity Type:Individual
Prefix:MS
First Name:JULIA
Middle Name:ELIZABETH
Last Name:SHERWOOD
Suffix:
Gender:F
Credentials:MT-BC, LCAT
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:225 VAN BUREN ST
Mailing Address - Street 2:
Mailing Address - City:LYNDHURST
Mailing Address - State:NJ
Mailing Address - Zip Code:07071-1312
Mailing Address - Country:US
Mailing Address - Phone:917-273-7572
Mailing Address - Fax:
Practice Address - Street 1:10 SLOAN ST STE 6
Practice Address - Street 2:
Practice Address - City:SOUTH ORANGE
Practice Address - State:NJ
Practice Address - Zip Code:07079-1714
Practice Address - Country:US
Practice Address - Phone:973-996-8295
Practice Address - Fax:
Is Sole Proprietor?:Yes
Enumeration Date:2021-05-20
Last Update Date:2021-05-20
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
10797225A00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes225A00000XRespiratory, Developmental, Rehabilitative and Restorative Service ProvidersMusic TherapistGroup - Single Specialty