Basic Information
| Provider Information | |||||||||
| NPI: | 1295031904 | ||||||||
| EntityType: | 1 | ||||||||
| ReplacementNPI: | |||||||||
| OrganizationName: | |||||||||
| LastName: | AMANN | ||||||||
| FirstName: | JULIA | ||||||||
| MiddleName: | I | ||||||||
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| Credential: | LCSW | ||||||||
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| Mailing Information | |||||||||
| Address1: | 15 RAMONA WAY | ||||||||
| Address2: | |||||||||
| City: | BRANFORD | ||||||||
| State: | CT | ||||||||
| PostalCode: | 064052543 | ||||||||
| CountryCode: | US | ||||||||
| TelephoneNumber: | 2034350249 | ||||||||
| FaxNumber: | 2034798001 | ||||||||
| Practice Location | |||||||||
| Address1: | 114 BOSTON POST RD | ||||||||
| Address2: | |||||||||
| City: | WEST HAVEN | ||||||||
| State: | CT | ||||||||
| PostalCode: | 065162043 | ||||||||
| CountryCode: | US | ||||||||
| TelephoneNumber: | 2034798074 | ||||||||
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| Other Information | |||||||||
| ProviderEnumerationDate: | 01/28/2011 | ||||||||
| LastUpdateDate: | 01/28/2011 | ||||||||
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| ProviderGenderCode: | F | ||||||||
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| IsSoleProprietor: | N | ||||||||
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Taxonomy Information
| Taxonomy | License | State | Switch | TaxonomyGroup | TaxonomyType | TaxonomyClass | SubSpecialty | 1041C0700X | 007520 | CT | Y | Behavioral Health & Social Service Providers | Social Worker | Clinical |
No ID Information.