Provider Demographics
NPI:1477254928
Name:CAMUSO, JULIA ANNE (PHD)
Entity type:Individual
Prefix:
First Name:JULIA
Middle Name:ANNE
Last Name:CAMUSO
Suffix:
Gender:
Credentials:PHD
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:993 WILLIAMS RD
Mailing Address - Street 2:
Mailing Address - City:COLCHESTER
Mailing Address - State:VT
Mailing Address - Zip Code:05446-3937
Mailing Address - Country:US
Mailing Address - Phone:802-321-4066
Mailing Address - Fax:
Practice Address - Street 1:37 LINCOLN ST
Practice Address - Street 2:
Practice Address - City:ESSEX JUNCTION
Practice Address - State:VT
Practice Address - Zip Code:05452-3228
Practice Address - Country:US
Practice Address - Phone:802-321-4066
Practice Address - Fax:
Is Sole Proprietor?:Yes
Enumeration Date:2023-03-13
Last Update Date:2025-03-18
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
NH6881103T00000X
VT048.0135127103T00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes103T00000XBehavioral Health & Social Service ProvidersPsychologist