Provider Demographics
NPI:1760677835
Name:JULIAN, EMILY CAMILLE (PHD)
Entity Type:Individual
Prefix:
First Name:EMILY
Middle Name:CAMILLE
Last Name:JULIAN
Suffix:
Gender:F
Credentials:PHD
Other - Prefix:
Other - First Name:EMILY
Other - Middle Name:CAMILLE
Other - Last Name:ANDREWS
Other - Suffix:
Other - Last Name Type:Former Name
Other - Credentials:MA
Mailing Address - Street 1:1010 CASS ST
Mailing Address - Street 2:SUITE C-4
Mailing Address - City:MONTEREY
Mailing Address - State:CA
Mailing Address - Zip Code:93940-4515
Mailing Address - Country:US
Mailing Address - Phone:415-237-0377
Mailing Address - Fax:415-484-1944
Practice Address - Street 1:1010 CASS ST
Practice Address - Street 2:SUITE C-4
Practice Address - City:MONTEREY
Practice Address - State:CA
Practice Address - Zip Code:93940-4515
Practice Address - Country:US
Practice Address - Phone:415-237-0377
Practice Address - Fax:415-484-1944
Is Sole Proprietor?:Yes
Enumeration Date:2007-09-11
Last Update Date:2016-11-29
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
CAPSY27394103TC0700X
WAPY60334467103TC0700X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes103TC0700XBehavioral Health & Social Service ProvidersPsychologistClinical