Provider Demographics
NPI:1851960710
Name:KAUFMAN, JULIA SIMONE (PHD)
Entity Type:Individual
Prefix:
First Name:JULIA
Middle Name:SIMONE
Last Name:KAUFMAN
Suffix:
Gender:F
Credentials:PHD
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:52 FRANCIS ST UNIT 2
Mailing Address - Street 2:
Mailing Address - City:MALDEN
Mailing Address - State:MA
Mailing Address - Zip Code:02148-2531
Mailing Address - Country:US
Mailing Address - Phone:781-223-1463
Mailing Address - Fax:
Practice Address - Street 1:52 FRANCIS ST UNIT 2
Practice Address - Street 2:
Practice Address - City:MALDEN
Practice Address - State:MA
Practice Address - Zip Code:02148-2531
Practice Address - Country:US
Practice Address - Phone:781-223-1463
Practice Address - Fax:
Is Sole Proprietor?:No
Enumeration Date:2021-06-23
Last Update Date:2021-06-23
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes103T00000XBehavioral Health & Social Service ProvidersPsychologist