Provider Demographics
NPI:1205132743
Name:FIORE, JULIANA (PHD)
Entity type:Individual
Prefix:MS
First Name:JULIANA
Middle Name:
Last Name:FIORE
Suffix:
Gender:F
Credentials:PHD
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:2240 W WOOLBRIGHT RD
Mailing Address - Street 2:STE 351
Mailing Address - City:BOYNTON BEACH
Mailing Address - State:FL
Mailing Address - Zip Code:33426-6364
Mailing Address - Country:US
Mailing Address - Phone:561-215-4023
Mailing Address - Fax:
Practice Address - Street 1:2240 W WOOLBRIGHT RD
Practice Address - Street 2:STE 351
Practice Address - City:BOYNTON BEACH
Practice Address - State:FL
Practice Address - Zip Code:33426-6364
Practice Address - Country:US
Practice Address - Phone:561-215-4023
Practice Address - Fax:
Is Sole Proprietor?:Yes
Enumeration Date:2011-02-01
Last Update Date:2017-05-01
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
FLPY8109103TC0700X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes103TC0700XBehavioral Health & Social Service ProvidersPsychologistClinical