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Individual

DR. JULIE A GAUTHIER

Active
Sole proprietor
No

Provider details

NPI number
Gender
F
Credential
PHD

Contact information

Practice address
2880 ZANKER RD, SUITE 203, SAN JOSE, CA 95134-2117
(408) 354-6783
(831) 335-2118
Mailing address
2880 ZANKER RD, SUITE 203, SAN JOSE, CA 95134-2117
(408) 354-6783
(831) 335-2118

Taxonomy

Speciality
Code
Description
License number
State
103T00000X
Psychologist
Primary
PSY20200
CA

Other

Other identifiers
Code
Description
Identifier
Issuer
State
01
366332
MHN
Enumeration date
02/19/2007
Last updated
04/30/2008
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