Provider Demographics
NPI:1093840530
Name:COX, JULIE ANN (PHD)
Entity type:Individual
Prefix:
First Name:JULIE
Middle Name:ANN
Last Name:COX
Suffix:
Gender:F
Credentials:PHD
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:1200 CONVERSE ST
Mailing Address - Street 2:SUITE 204
Mailing Address - City:LONGMEADOW
Mailing Address - State:MA
Mailing Address - Zip Code:01106
Mailing Address - Country:US
Mailing Address - Phone:413-531-9457
Mailing Address - Fax:413-567-9010
Practice Address - Street 1:1200 CONVERSE ST
Practice Address - Street 2:SUITE 204
Practice Address - City:LONGMEADOW
Practice Address - State:MA
Practice Address - Zip Code:01106
Practice Address - Country:US
Practice Address - Phone:413-567-5533
Practice Address - Fax:413-567-9010
Is Sole Proprietor?:Yes
Enumeration Date:2007-02-23
Last Update Date:2025-01-30
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
MA7755103TC0700X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes103TC0700XBehavioral Health & Social Service ProvidersPsychologistClinical