Provider Demographics
NPI:1265187454
Name:COCKERILL, JULIA (MSED, NCSP)
Entity type:Individual
Prefix:
First Name:JULIA
Middle Name:
Last Name:COCKERILL
Suffix:
Gender:F
Credentials:MSED, NCSP
Other - Prefix:
Other - First Name:JULIA
Other - Middle Name:
Other - Last Name:CARDIELLO
Other - Suffix:
Other - Last Name Type:Former Name
Other - Credentials:MSED, NCSP
Mailing Address - Street 1:71 PROSPECT ST
Mailing Address - Street 2:
Mailing Address - City:RIDGEFIELD
Mailing Address - State:CT
Mailing Address - Zip Code:06877-4605
Mailing Address - Country:US
Mailing Address - Phone:914-539-0277
Mailing Address - Fax:
Practice Address - Street 1:71 PROSPECT ST
Practice Address - Street 2:
Practice Address - City:RIDGEFIELD
Practice Address - State:CT
Practice Address - Zip Code:06877-4605
Practice Address - Country:US
Practice Address - Phone:914-539-0277
Practice Address - Fax:
Is Sole Proprietor?:Yes
Enumeration Date:2022-02-16
Last Update Date:2022-02-16
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes103TS0200XBehavioral Health & Social Service ProvidersPsychologistSchool