Individual
DR. JULIE ANN GOMER
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
DBH
Contact information
Practice address
13700 REIMER DR N STE 220, MAPLE GROVE, MN 55311-4548
(763) 424-2474
(763) 424-2711
Mailing address
13700 REIMER DRIVE N., SUITE 220, MAPLE GROVE, MN 55311
(763) 424-2474
(763) 424-2711
Taxonomy
Speciality
Code
Description
License number
State
103TB0200X
Cognitive & Behavioral Psychologist
Primary
CC01538
MN
133N00000X
Nutritionist
—
—
133NN1002X
Nutrition Education Nutritionist
—
—
Other
Enumeration date
12/26/2011
Last updated
08/08/2017
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