Individual
DR. JULIE ANA CRITTENDON
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
PH.D.
Contact information
Practice address
226 CREEKSTONE RDG, WOODSTOCK, GA 30188-3732
(470) 228-2040
Mailing address
226 CREEKSTONE RDG, WOODSTOCK, GA 30188-3732
(470) 228-2040
Taxonomy
Speciality
Code
Description
License number
State
103K00000X
Behavior Analyst
1-11-9444
—
103TC0700X
Clinical Psychologist
2928
TN
103TC0700X
Clinical Psychologist
Primary
PSY003968
GA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
003177344A
—
GA
Enumeration date
10/19/2010
Last updated
08/29/2016
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