Provider Demographics
NPI:1669514469
Name:WEHRWEIN, JULIE B
Entity type:Individual
Prefix:MRS
First Name:JULIE
Middle Name:B
Last Name:WEHRWEIN
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 1:3 FRUIT ST
Mailing Address - Street 2:
Mailing Address - City:NEWBURYPORT
Mailing Address - State:MA
Mailing Address - Zip Code:01950-2842
Mailing Address - Country:US
Mailing Address - Phone:978-499-0097
Mailing Address - Fax:
Practice Address - Street 1:65 NEWBURYPORT TPKE
Practice Address - Street 2:
Practice Address - City:NEWBURY
Practice Address - State:MA
Practice Address - Zip Code:01951-1113
Practice Address - Country:US
Practice Address - Phone:978-465-9770
Practice Address - Fax:
Is Sole Proprietor?:Yes
Enumeration Date:2007-02-12
Last Update Date:2007-07-08
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
MA5882101YM0800X
MA1154106H00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Not Answered101YM0800XBehavioral Health & Social Service ProvidersCounselorMental Health
Not Answered106H00000XBehavioral Health & Social Service ProvidersMarriage & Family Therapist