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Individual

DR. JULIE L DELETTRE

Active
Sole proprietor
Yes

Provider details

NPI number
Gender
F
Credential
PSY.D.

Contact information

Practice address
1223 GATEWAY DR STE 2G, MELBOURNE, FL 32901-2607
(321) 725-4500
(321) 722-6033
Mailing address
3300 S FISKE BLVD, ROCKLEDGE, FL 32955-4306
(321) 725-4500
(321) 951-7408

Taxonomy

Speciality
Code
Description
License number
State
103G00000X
Clinical Neuropsychologist
PY8586
FL
103T00000X
Psychologist
Primary
PY8586
FL
103TC0700X
Clinical Psychologist
PY8586
FL

Other

Other identifiers
Code
Description
Identifier
Issuer
State
01
GT228X
MEDICARE
FL
Enumeration date
09/04/2012
Last updated
02/03/2025
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