Provider Demographics
NPI:1588726269
Name:MAZLYMIAN, JULIA GENOVEVA SR (MA, LPC)
Entity type:Individual
Prefix:MRS
First Name:JULIA
Middle Name:GENOVEVA
Last Name:MAZLYMIAN
Suffix:SR
Gender:F
Credentials:MA, LPC
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:50 MILLER RD
Mailing Address - Street 2:
Mailing Address - City:CRANBURY
Mailing Address - State:NJ
Mailing Address - Zip Code:08512-5408
Mailing Address - Country:US
Mailing Address - Phone:609-655-5832
Mailing Address - Fax:
Practice Address - Street 1:223 BLOOMFIELD ST STE 108
Practice Address - Street 2:
Practice Address - City:HOBOKEN
Practice Address - State:NJ
Practice Address - Zip Code:07030-4752
Practice Address - Country:US
Practice Address - Phone:609-529-3616
Practice Address - Fax:
Is Sole Proprietor?:Yes
Enumeration Date:2006-12-15
Last Update Date:2007-07-08
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
NJ37PC00004700101YP2500X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes101YP2500XBehavioral Health & Social Service ProvidersCounselorProfessional