Provider Demographics
NPI:1851413033
Name:MCCAMISH, JULIA ANNE (MSW, QMHP)
Entity Type:Individual
Prefix:
First Name:JULIA
Middle Name:ANNE
Last Name:MCCAMISH
Suffix:
Gender:F
Credentials:MSW, QMHP
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:10243 BRIGGS RD
Mailing Address - Street 2:
Mailing Address - City:CARTERVILLE
Mailing Address - State:IL
Mailing Address - Zip Code:62918-3354
Mailing Address - Country:US
Mailing Address - Phone:618-967-9278
Mailing Address - Fax:618-985-6779
Practice Address - Street 1:10243 BRIGGS RD
Practice Address - Street 2:
Practice Address - City:CARTERVILLE
Practice Address - State:IL
Practice Address - Zip Code:62918-3354
Practice Address - Country:US
Practice Address - Phone:618-967-9278
Practice Address - Fax:618-985-6779
Is Sole Proprietor?:Yes
Enumeration Date:2007-04-06
Last Update Date:2007-07-08
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes222Q00000XRespiratory, Developmental, Rehabilitative and Restorative Service ProvidersDevelopmental Therapist