MEDICARE: JULIA ANNE CAMUSO PH.D.

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	103T00000X	Psychologist	048.0135127	VT
2	103T00000X	Psychologist	6881	NH

General Provider Information

NPI Number	:	1477254928
Entity Type Code	:	Individual
Provider Name (Legal Business Name)	:	JULIA ANNE CAMUSO PH.D.

Provider Business Mailing Address
First Line	:	993 WILLIAMS RD
Second Line	:
City	:	COLCHESTER
State	:	VT
Zip	:	05446-3937
Country	:	US
Telephone Number	:	802-321-4066
Fax Number	:

Provider Business Practice Location Address
First Line	:	37 LINCOLN ST
Second Line	:
City	:	ESSEX JUNCTION
State	:	VT
Zip	:	05452-3228
Country	:	US
Telephone Number	:	802-321-4066
Fax Number	:

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

Provider Enumeration Date	:	03/13/2023
Last Update Date	:	12/10/2025

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