Provider Demographics
NPI:1700992724
Name:MATTHEWS-BELLINGER, JULIA A (PHD, MD)
Entity Type:Individual
Prefix:DR
First Name:JULIA
Middle Name:A
Last Name:MATTHEWS-BELLINGER
Suffix:
Gender:F
Credentials:PHD, MD
Other - Prefix:DR
Other - First Name:JULIA
Other - Middle Name:A
Other - Last Name:MATTHEWS
Other - Suffix:
Other - Last Name Type:Professional Name
Other - Credentials:PHD, MD
Mailing Address - Street 1:19 FAIR OAKS PARK
Mailing Address - Street 2:
Mailing Address - City:NEEDHAM
Mailing Address - State:MA
Mailing Address - Zip Code:02492-3101
Mailing Address - Country:US
Mailing Address - Phone:781-449-8382
Mailing Address - Fax:781-453-9092
Practice Address - Street 1:19 FAIR OAKS PARK
Practice Address - Street 2:
Practice Address - City:NEEDHAM
Practice Address - State:MA
Practice Address - Zip Code:02492-3101
Practice Address - Country:US
Practice Address - Phone:781-449-8382
Practice Address - Fax:781-453-9092
Is Sole Proprietor?:Yes
Enumeration Date:2006-08-22
Last Update Date:2007-07-08
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
MA587902084P0800X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes2084P0800XAllopathic & Osteopathic PhysiciansPsychiatry & NeurologyPsychiatry
Provider Identifiers
StateIdentifier IDID TypeIssuer
MA058790OtherTUFTS HEALTH PLAN
MAJ10079OtherBC/BS
MA3069834Medicaid
MAJ10079Medicare ID - Type Unspecified
MA3069834Medicaid