Provider Demographics
NPI:1194133678
Name:JULIA STEEN, MA, PLC
Entity type:Organization
Organization Name:JULIA STEEN, MA, PLC
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:LICENSED PSYCHOLOGIST - MASTER
Authorized Official - Prefix:
Authorized Official - First Name:JULIA
Authorized Official - Middle Name:
Authorized Official - Last Name:STEEN
Authorized Official - Suffix:
Authorized Official - Credentials:MA
Authorized Official - Phone:802-989-1836
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
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2014-07-28
Last Update Date:2014-07-28
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
VT047.0094717103TC0700X
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes103TC0700XBehavioral Health & Social Service ProvidersPsychologistClinicalGroup - Single Specialty