Individual
JULIA M BRANNON
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
PHD
Contact information
Practice address
1305 COACH RD STE A, REIDSVILLE, NC 27320-5571
(336) 349-5553
(336) 349-5554
Mailing address
546 SANDY CROSS RD, REIDSVILLE, NC 27320-5571
(336) 951-0000
(336) 951-0002
Taxonomy
Speciality
Code
Description
License number
State
103T00000X
Psychologist
Primary
1396
NC
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
6000093
—
NC
Enumeration date
11/27/2007
Last updated
05/20/2008
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