Organization
JULIE A. PELLETIER, P.C.
Active
Organization subpart
No
Provider details
NPI number
Authorized official
JULIE A PELLETIER (PRESIDENT)
(435) 512-1113
Entity
Organization
Contact information
Practice address
454 ROLLING RIDGE DR, STATE COLLEGE, PA 16801-7696
(814) 235-1100
Mailing address
454 ROLLING RIDGE DR, STATE COLLEGE, PA 16801-7696
Taxonomy
Speciality
Code
Description
License number
State
103TC2200X
Clinical Child & Adolescent Psychologist
Primary
PS017889
PA
Other
Enumeration date
09/18/2015
Last updated
09/18/2015
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