Healthcare Provider Details

I. General information

NPI: 1720830185
Provider Name (Legal Business Name): JULIAN ALEXANDRA CAFFREY PSY.D.
Entity Type: Individual
Gender: Female
Sole Proprietor: N

II. Dates (important events)

Enumeration Date: 04/01/2024
Last Update Date: 07/23/2026
Certification Date: 07/23/2026
Deactivation Date:
Reactivation Date:

III. Provider practice location address

3804 CHURCH RD
MOUNT LAUREL NJ
08054-1106
US

IV. Provider business mailing address

2132 S 12TH ST
ALLENTOWN PA
18103-4810
US

V. Phone/Fax

Practice location:
  • Phone: 609-490-2224
  • Fax:
Mailing address:
  • Phone: 470-605-4289
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code103TC0700X
TaxonomyClinical Psychologist
License Number35SI00774700
License Number StateNJ
# 2
Primary TaxonomyN
Taxonomy Code103TC0700X
TaxonomyClinical Psychologist
License NumberPS020117
License Number StatePA

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: