MEDICARE: JULIE A. SINKUC M.ED., ED.S.

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
1	103TS0200X	School Psychologist	3026436	OH

General Provider Information

NPI Number	:	1134776347
Entity Type Code	:	Individual
Provider Name (Legal Business Name)	:	JULIE A. SINKUC M.ED., ED.S.

Provider Business Mailing Address
First Line	:	160 WHITE AVE
Second Line	:
City	:	SHARON
State	:	PA
Zip	:	16146-3054
Country	:	US
Telephone Number	:	724-813-5723
Fax Number	:

Provider Business Practice Location Address
First Line	:	3436 EDGEWOOD DR
Second Line	:
City	:	ASHTABULA
State	:	OH
Zip	:	44004-5967
Country	:	US
Telephone Number	:	440-998-4411
Fax Number	:

Authorized Official
Title or Position	:
Name	:
Credential	:
Telephone Number	:

Provider Enumeration Date	:	08/22/2019
Last Update Date	:	08/22/2019

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