Provider Demographics
NPI:1114528395
Name:FITZICK, JULIE A (LMFT)
Entity type:Individual
Prefix:
First Name:JULIE
Middle Name:A
Last Name:FITZICK
Suffix:
Gender:F
Credentials:LMFT
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:2401 BAY AVE STE 2
Mailing Address - Street 2:
Mailing Address - City:OCEAN CITY
Mailing Address - State:NJ
Mailing Address - Zip Code:08226-2456
Mailing Address - Country:US
Mailing Address - Phone:609-246-0139
Mailing Address - Fax:
Practice Address - Street 1:2401 BAY AVE STE 2
Practice Address - Street 2:
Practice Address - City:OCEAN CITY
Practice Address - State:NJ
Practice Address - Zip Code:08226-2456
Practice Address - Country:US
Practice Address - Phone:609-246-0139
Practice Address - Fax:
Is Sole Proprietor?:Yes
Enumeration Date:2020-11-04
Last Update Date:2024-11-11
Deactivation Date:2024-08-09
Deactivation Code:
Reactivation Date:2024-11-01
Provider Licenses
StateLicense IDTaxonomies
NJ37FI00235400106H00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes106H00000XBehavioral Health & Social Service ProvidersMarriage & Family Therapist