Individual
DR. GWEN W JULIA
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
PHD
Contact information
Practice address
60 TEMPLE ST, WEST NEWTON, MA 02465-2307
(617) 965-2956
(617) 244-8363
Mailing address
60 TEMPLE ST, WEST NEWTON, MA 02465-2307
(617) 965-2956
(617) 244-8363
Taxonomy
Speciality
Code
Description
License number
State
103TC0700X
Clinical Psychologist
Primary
1091
MA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
14174
NATL REG OF HLTH PROV PSY
—
Enumeration date
03/09/2007
Last updated
07/08/2007
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