Healthcare Provider Details

I. General information

NPI: 1497676621
Provider Name (Legal Business Name): JULIA CAMERON
Entity Type: Individual
Gender: Female
Sole Proprietor: N

II. Dates (important events)

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

III. Provider practice location address

8850 WILLIAM COFFEY DR
MILWAUKEE WI
53226-1264
US

IV. Provider business mailing address

3750 N 86TH ST
MILWAUKEE WI
53222-2830
US

V. Phone/Fax

Practice location:
  • Phone: 414-805-6850
  • Fax:
Mailing address:
  • Phone:
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code103T00000X
TaxonomyPsychologist
License Number5554-57
License Number StateWI

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: