Provider Demographics
NPI:1427936632
Name:BAER, JULIA SYLVIA
Entity type:Individual
Prefix:
First Name:JULIA
Middle Name:SYLVIA
Last Name:BAER
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 1:817 GREENWAY BLVD
Mailing Address - Street 2:
Mailing Address - City:ROSELLE
Mailing Address - State:NJ
Mailing Address - Zip Code:07203-3041
Mailing Address - Country:US
Mailing Address - Phone:201-334-7707
Mailing Address - Fax:
Practice Address - Street 1:97 MAIN ST STE 102
Practice Address - Street 2:
Practice Address - City:CHATHAM
Practice Address - State:NJ
Practice Address - Zip Code:07928-2421
Practice Address - Country:US
Practice Address - Phone:973-782-1275
Practice Address - Fax:
Is Sole Proprietor?:Yes
Enumeration Date:2025-08-25
Last Update Date:2025-08-25
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes103TC2200XBehavioral Health & Social Service ProvidersPsychologistClinical Child & Adolescent