Provider Demographics
NPI:1841189610
Name:ZIDE, JULIE
Entity type:Individual
Prefix:
First Name:JULIE
Middle Name:
Last Name:ZIDE
Suffix:
Gender:F
Credentials:
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:16 BAYBERRY LN
Mailing Address - Street 2:
Mailing Address - City:FRAMINGHAM
Mailing Address - State:MA
Mailing Address - Zip Code:01701-3031
Mailing Address - Country:US
Mailing Address - Phone:508-320-9196
Mailing Address - Fax:
Practice Address - Street 1:16 BAYBERRY LN
Practice Address - Street 2:
Practice Address - City:FRAMINGHAM
Practice Address - State:MA
Practice Address - Zip Code:01701-3031
Practice Address - Country:US
Practice Address - Phone:508-320-9196
Practice Address - Fax:
Is Sole Proprietor?:Yes
Enumeration Date:2025-06-28
Last Update Date:2025-06-28
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes104100000XBehavioral Health & Social Service ProvidersSocial Worker