Healthcare Provider Details

I. General information

NPI: 1841123650
Provider Name (Legal Business Name): JULIA DEAN
Entity Type: Individual
Gender: Female
Sole Proprietor: Y

II. Dates (important events)

Enumeration Date: 06/03/2026
Last Update Date: 06/03/2026
Certification Date: 06/03/2026
Deactivation Date:
Reactivation Date:

III. Provider practice location address

31 GROVE ST
CHELMSFORD MA
01824-3103
US

IV. Provider business mailing address

31 GROVE ST
CHELMSFORD MA
01824-3103
US

V. Phone/Fax

Practice location:
  • Phone: 978-654-1152
  • Fax:
Mailing address:
  • Phone: 978-761-2617
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code261QM0855X
TaxonomyAdolescent and Children Mental Health Clinic/Center
License Number
License Number State

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: