Provider Demographics
NPI:1124469564
Name:STEEN, JULIA (MA)
Entity type:Individual
Prefix:MRS
First Name:JULIA
Middle Name:
Last Name:STEEN
Suffix:
Gender:F
Credentials:MA
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:12 CRANE VIEW DR
Mailing Address - Street 2:
Mailing Address - City:SALISBURY
Mailing Address - State:VT
Mailing Address - Zip Code:05769-9461
Mailing Address - Country:US
Mailing Address - Phone:802-989-1836
Mailing Address - Fax:802-419-3650
Practice Address - Street 1:228 MAPLE ST
Practice Address - Street 2:
Practice Address - City:MIDDLEBURY
Practice Address - State:VT
Practice Address - Zip Code:05753-1606
Practice Address - Country:US
Practice Address - Phone:802-989-1836
Practice Address - Fax:802-419-3650
Is Sole Proprietor?:Yes
Enumeration Date:2013-07-15
Last Update Date:2014-07-29
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
VT047.0094717103TC0700X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes103TC0700XBehavioral Health & Social Service ProvidersPsychologistClinical