Organization
JULIE A. STATES, PHD, PLLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
DR. JULIE A STATES PH.D. (PSYCHOLOGIST)
(814) 238-1880
Entity
Organization
Contact information
Practice address
229 W FOSTER AVE, STATE COLLEGE, PA 16801-4823
(814) 238-1880
(814) 867-2794
Mailing address
229 W FOSTER AVE, STATE COLLEGE, PA 16801-4823
(814) 238-1880
(814) 867-2794
Taxonomy
Speciality
Code
Description
License number
State
251S00000X
Community/Behavioral Health Agency
Primary
PS0105297
PA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
617791
—
PA
Enumeration date
03/30/2018
Last updated
03/30/2018
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