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NPI Code Detail

MEDICARE: JULIE HENRY

MEDICARE: JULIE HENRY
Medicare Provider Information

Scope of Practice

The following information about the specialty of the provider is available:

# Taxonomy Code Taxonomy License Number License Number State
1222Q00000XDevelopmental Therapist

General Provider Information

NPI Number : 1902741390
Entity Type Code : Individual
Provider Name (Legal Business Name) : JULIE HENRY
Provider Business Mailing Address
First Line : 209 MOLLYS WAY
Second Line :
City : MADISON
State : IN
Zip : 47250-3054
Country : US
Telephone Number : 317-806-6131
Fax Number : 855-364-4941
Provider Business Practice Location Address
First Line : 1200 E 42ND ST
Second Line :
City : INDIANAPOLIS
State : IN
Zip : 46205-2004
Country : US
Telephone Number : 317-550-4800
Fax Number :
Authorized Official
Title or Position :
Name :
Credential :
Telephone Number :
Provider Enumeration Date : 04/21/2026
Last Update Date : 04/21/2026

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Directions to “ JULIE HENRY ” Practice Location

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