# JULIA H. GREEN, PH.D., LLC

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- **Entity:** Organization
- **Status:** Active
- **Organization subpart:** No

## Provider details

- **NPI number:** 1528274909
- **Authorized official:** DR. JULIA HAMMOND GREEN (CHILD PSYCHOLOGIST)
- **Authorized official phone:** (434) 962-8082

## Contact information

- **Practice address:** 2550 GILLUMS RIDGE LN, CHARLOTTESVILLE, VA 22903-7610
- **Practice address phone:** (434) 962-8082
- **Mailing address:** 2550 GILLUMS RIDGE LN, CHARLOTTESVILLE, VA 22903-7610
- **Mailing address phone:** (434) 962-8082

## Taxonomy

| Code | Description | License number | State | Primary |
| --- | --- | --- | --- | --- |
| 103TC2200X | Clinical Child & Adolescent Psychologist | 0810001034 | VA | Yes |

## Other

- **Enumeration date:** 05/15/2007
- **Last updated:** 08/22/2020
