Provider Demographics
NPI:1215058540
Name:JULIANO, MARIEL (MA)
Entity type:Individual
Prefix:MS
First Name:MARIEL
Middle Name:
Last Name:JULIANO
Suffix:
Gender:F
Credentials:MA
Other - Prefix:MS
Other - First Name:MARIELLE
Other - Middle Name:
Other - Last Name:JULIANO
Other - Suffix:
Other - Last Name Type:Other Name
Other - Credentials:
Mailing Address - Street 1:116 MONTROSE AVE APT A
Mailing Address - Street 2:
Mailing Address - City:BRYN MAWR
Mailing Address - State:PA
Mailing Address - Zip Code:19010-1557
Mailing Address - Country:US
Mailing Address - Phone:610-525-9733
Mailing Address - Fax:
Practice Address - Street 1:112 N BROAD ST
Practice Address - Street 2:
Practice Address - City:PHILA
Practice Address - State:PA
Practice Address - Zip Code:19102-1510
Practice Address - Country:US
Practice Address - Phone:215-568-0860
Practice Address - Fax:215-568-0769
Is Sole Proprietor?:No
Enumeration Date:2007-04-03
Last Update Date:2007-07-08
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes101Y00000XBehavioral Health & Social Service ProvidersCounselor