Individual
DR. JULIA GADLAGE
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
PSYD
Contact information
Practice address
620 8TH AVE, TERRE HAUTE, IN 47804-2744
(812) 231-8200
Mailing address
PO BOX 553, LINTON, IN 47441-0553
Taxonomy
Speciality
Code
Description
License number
State
103TC0700X
Clinical Psychologist
Primary
20042392A
IN
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
200982510
—
IN
Enumeration date
03/02/2010
Last updated
10/20/2020
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