Provider Demographics
NPI:1205720844
Name:JANKOWSKI, JULIA
Entity type:Individual
Prefix:
First Name:JULIA
Middle Name:
Last Name:JANKOWSKI
Suffix:
Gender:F
Credentials:
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:1092 HAWTHORNE PKWY
Mailing Address - Street 2:
Mailing Address - City:SPRING LAKE
Mailing Address - State:NJ
Mailing Address - Zip Code:07762-2369
Mailing Address - Country:US
Mailing Address - Phone:732-233-2819
Mailing Address - Fax:
Practice Address - Street 1:1198 LAKEWOOD RD STE 102
Practice Address - Street 2:
Practice Address - City:TOMS RIVER
Practice Address - State:NJ
Practice Address - Zip Code:08753-2243
Practice Address - Country:US
Practice Address - Phone:732-605-6364
Practice Address - Fax:
Is Sole Proprietor?:No
Enumeration Date:2025-06-06
Last Update Date:2025-06-06
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes101YM0800XBehavioral Health & Social Service ProvidersCounselorMental Health