Individual
JULIE M BEATTY
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
L.P.T.
Contact information
Practice address
871 ENBORG CT, SUITE 100, SAN JOSE, CA 95128-2645
(408) 885-7855
(408) 885-7854
Mailing address
871 ENBORG CT, SUITE 100, SAN JOSE, CA 95128-2645
(408) 885-7855
(408) 885-7854
Taxonomy
Speciality
Code
Description
License number
State
167G00000X
Licensed Psychiatric Technician
Primary
PT29913
CA
Other
Enumeration date
05/19/2009
Last updated
05/19/2009
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