Provider Demographics
NPI:1194962738
Name:GRIFFIN-TERNER, JULIA M (MA)
Entity type:Individual
Prefix:MS
First Name:JULIA
Middle Name:M
Last Name:GRIFFIN-TERNER
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 1:100 CUMMINGS CTR
Mailing Address - Street 2:SUITE 365D
Mailing Address - City:BEVERLY
Mailing Address - State:MA
Mailing Address - Zip Code:01915-6115
Mailing Address - Country:US
Mailing Address - Phone:978-335-0756
Mailing Address - Fax:978-969-6945
Practice Address - Street 1:100 CUMMINGS CTR
Practice Address - Street 2:SUITE 365D
Practice Address - City:BEVERLY
Practice Address - State:MA
Practice Address - Zip Code:01915-6115
Practice Address - Country:US
Practice Address - Phone:978-335-0756
Practice Address - Fax:978-969-6945
Is Sole Proprietor?:Yes
Enumeration Date:2009-01-20
Last Update Date:2015-12-03
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
101Y00000X
MA8277101YM0800X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes101YM0800XBehavioral Health & Social Service ProvidersCounselorMental Health
No101Y00000XBehavioral Health & Social Service ProvidersCounselor