| Doctor Name: | DR. JULIE ANN LANDIS |
| NPI Number: | 1003012295 |
| Entity Type Code: | Individual (1) |
| Gender: | F |
| Credentials: | PH.D. |
| License Number: | 25075 |
| Business Practice Address: | 4747 Bellaire Blvd Suite 550 Bellaire, TX - 774014527 |
| Business Phone Number: | 7136660966 |
| Business Fax Number: | 7136660987 |
| Mailing Address: | 4747 Bellaire Blvd, Suite 550 BELLAIRE |
| State: | TX |
| Postal Code: | 774014527 |
| Phone Number: | 7136660966 |
| Fax Number: | 7136660987 |
| NPI Enumeration Date: | 06/25/2007 |
| NPI Last Update Date: | 07/08/2007 |
| Replacement NPI: | 0 |
| NPI Deactivation Date: | |
| NPI Reactivation Date: |
Taxonomy Information: | |
| Healthcare Provider Taxonomy: | 103TS0200X |
| License Number: | 25075 |
| Healthcare Provider Taxonomy: (Secondary) | Y |
| State: | TX |
| Taxonomy Type: | Behavioral Health & Social Service Providers |
| Taxonomy Classification: | Psychologist |
| Taxonomy Specialization: | School |
| Taxonomy Definition: | |