Provider Demographics
NPI:1306082938
Name:RAFSKY, JULIA BETH (PHD)
Entity type:Individual
Prefix:DR
First Name:JULIA
Middle Name:BETH
Last Name:RAFSKY
Suffix:
Gender:F
Credentials:PHD
Other - Prefix:DR
Other - First Name:JULIA
Other - Middle Name:BETH
Other - Last Name:WEINBERG
Other - Suffix:
Other - Last Name Type:Other Name
Other - Credentials:PHD
Mailing Address - Street 1:126 CHRISTIAN ST
Mailing Address - Street 2:
Mailing Address - City:PHILADELPHIA
Mailing Address - State:PA
Mailing Address - Zip Code:19147-4218
Mailing Address - Country:US
Mailing Address - Phone:215-462-0970
Mailing Address - Fax:
Practice Address - Street 1:126 CHRISTIAN ST
Practice Address - Street 2:
Practice Address - City:PHILADELPHIA
Practice Address - State:PA
Practice Address - Zip Code:19147-4218
Practice Address - Country:US
Practice Address - Phone:215-462-0970
Practice Address - Fax:
Is Sole Proprietor?:Yes
Enumeration Date:2009-01-03
Last Update Date:2009-01-03
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
PAPS008188-L103T00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes103T00000XBehavioral Health & Social Service ProvidersPsychologist