# JULIE A. PELLETIER, P.C.

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

## Provider details

- **NPI number:** 1932578911
- **Authorized official:** JULIE A PELLETIER (PRESIDENT)
- **Authorized official phone:** (435) 512-1113

## Contact information

- **Practice address:** 454 ROLLING RIDGE DR, STATE COLLEGE, PA 16801-7696
- **Practice address phone:** (814) 235-1100
- **Mailing address:** 454 ROLLING RIDGE DR, STATE COLLEGE, PA 16801-7696

## Taxonomy

| Code | Description | License number | State | Primary |
| --- | --- | --- | --- | --- |
| 103TC2200X | Clinical Child & Adolescent Psychologist | PS017889 | PA | Yes |

## Other

- **Enumeration date:** 09/18/2015
- **Last updated:** 09/18/2015