Provider Demographics
NPI:1831985993
Name:JULIANNE COREY PSYCHOTHERAPY, PLLC
Entity type:Organization
Organization Name:JULIANNE COREY PSYCHOTHERAPY, PLLC
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:OWNER/CLINICIAN
Authorized Official - Prefix:
Authorized Official - First Name:JULIANNE
Authorized Official - Middle Name:W
Authorized Official - Last Name:COREY
Authorized Official - Suffix:
Authorized Official - Credentials:LMHC
Authorized Official - Phone:617-645-9158
Mailing Address - Street 1:11 BONNIEVALE DR
Mailing Address - Street 2:
Mailing Address - City:BEDFORD
Mailing Address - State:MA
Mailing Address - Zip Code:01730-1503
Mailing Address - Country:US
Mailing Address - Phone:617-645-9158
Mailing Address - Fax:
Practice Address - Street 1:11 BONNIEVALE DR
Practice Address - Street 2:
Practice Address - City:BEDFORD
Practice Address - State:MA
Practice Address - Zip Code:01730-1503
Practice Address - Country:US
Practice Address - Phone:617-645-9158
Practice Address - Fax:
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2025-04-16
Last Update Date:2025-04-16
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes261QM0850XAmbulatory Health Care FacilitiesClinic/CenterAdult Mental Health