Provider Demographics
NPI:1992146674
Name:SHEPHERD, JULIANN
Entity type:Individual
Prefix:
First Name:JULIANN
Middle Name:
Last Name:SHEPHERD
Suffix:
Gender:
Credentials:
Other - Prefix:
Other - First Name:JULIANN
Other - Middle Name:
Other - Last Name:GALASZEWSKI
Other - Suffix:
Other - Last Name Type:Former Name
Other - Credentials:
Mailing Address - Street 1:720 YORKLYN RD
Mailing Address - Street 2:
Mailing Address - City:HOCKESSIN
Mailing Address - State:DE
Mailing Address - Zip Code:19707-8728
Mailing Address - Country:US
Mailing Address - Phone:302-234-2288
Mailing Address - Fax:
Practice Address - Street 1:3300 CONCORD PIKE STE 4
Practice Address - Street 2:
Practice Address - City:WILMINGTON
Practice Address - State:DE
Practice Address - Zip Code:19803-5038
Practice Address - Country:US
Practice Address - Phone:302-753-2700
Practice Address - Fax:302-766-7973
Is Sole Proprietor?:No
Enumeration Date:2013-07-10
Last Update Date:2025-04-29
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
DEJT-0000872225100000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes225100000XRespiratory, Developmental, Rehabilitative and Restorative Service ProvidersPhysical Therapist