Individual
DR. JULIE MARIE PELLETIER
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
PSYD, HSPP
Contact information
Practice address
314 W CATALPA DR, SUITE E, MISHAWAKA, IN 46545-3194
(574) 254-1700
Mailing address
51635 TERRI BROOKE DR, GRANGER, IN 46530-7269
(574) 651-9834
Taxonomy
Speciality
Code
Description
License number
State
103TC0700X
Clinical Psychologist
Primary
20041979A
IN
Other
Enumeration date
08/16/2006
Last updated
07/08/2007
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