Provider Demographics
NPI:1306996962
Name:HALEVY, JULIA Z (DOTT PED)
Entity type:Individual
Prefix:PROF
First Name:JULIA
Middle Name:Z
Last Name:HALEVY
Suffix:
Gender:F
Credentials:DOTT PED
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:403 WASHINGTON ST
Mailing Address - Street 2:UNIT 5
Mailing Address - City:BROOKLINE
Mailing Address - State:MA
Mailing Address - Zip Code:02446-6126
Mailing Address - Country:US
Mailing Address - Phone:617-906-5471
Mailing Address - Fax:
Practice Address - Street 1:403 WASHINGTON ST
Practice Address - Street 2:UNIT 5
Practice Address - City:BROOKLINE
Practice Address - State:MA
Practice Address - Zip Code:02446-6126
Practice Address - Country:US
Practice Address - Phone:617-906-5471
Practice Address - Fax:
Is Sole Proprietor?:Yes
Enumeration Date:2007-01-12
Last Update Date:2007-07-08
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
MA4768103TC0700X, 103TC1900X, 103T00000X
103TF0000X
MA181106H00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Not Answered103TC0700XBehavioral Health & Social Service ProvidersPsychologistClinical
Not Answered103TC1900XBehavioral Health & Social Service ProvidersPsychologistCounseling
Not Answered103TF0000XBehavioral Health & Social Service ProvidersPsychologistFamily
Not Answered103T00000XBehavioral Health & Social Service ProvidersPsychologist
Not Answered106H00000XBehavioral Health & Social Service ProvidersMarriage & Family Therapist