Provider Demographics
NPI:1811974850
Name:WEISS, JULIA (LMHC)
Entity type:Individual
Prefix:MS
First Name:JULIA
Middle Name:
Last Name:WEISS
Suffix:
Gender:F
Credentials:LMHC
Other - Prefix:MS
Other - First Name:JULIE
Other - Middle Name:
Other - Last Name:SIEGELMAN
Other - Suffix:
Other - Last Name Type:Former Name
Other - Credentials:
Mailing Address - Street 1:17 WADE ST
Mailing Address - Street 2:
Mailing Address - City:BRIGHTON
Mailing Address - State:MA
Mailing Address - Zip Code:02135-5702
Mailing Address - Country:US
Mailing Address - Phone:617-817-2656
Mailing Address - Fax:
Practice Address - Street 1:124 HARVARD ST
Practice Address - Street 2:
Practice Address - City:BROOKLINE
Practice Address - State:MA
Practice Address - Zip Code:02446-6478
Practice Address - Country:US
Practice Address - Phone:617-787-1033
Practice Address - Fax:
Is Sole Proprietor?:Yes
Enumeration Date:2005-12-30
Last Update Date:2022-01-30
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
MA5747101YM0800X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes101YM0800XBehavioral Health & Social Service ProvidersCounselorMental Health