Organization Name: | JULIA BRANNON PHD & ASSOCIATES INCORPORATED |
NPI Number: | 1003899634 |
Entity Type Code: | Organizational (2) |
Authorized Official Name: | JULIA M BRANNON (OWNER) |
Mailing Address: | 546 Sandy Cross Rd Reidsville |
State: | NC US |
Postal Code: | 273205571 |
Phone Number: | 3369510000 |
Fax Number: | 3369510002 |
NPI Enumeration Date: | 11/29/2005 |
NPI Last Update Date: | 02/11/2014 |
Replacement NPI: | 0 |
NPI Deactivation Date: | |
NPI Reactivation Date: |
Taxonomy Information: | |
Healthcare Provider Taxonomy: | 103TC0700X |
License Number: | 1396 |
Healthcare Provider Taxonomy: (Secondary) | Y |
State: | NC |
Taxonomy Type: | Behavioral Health & Social Service Providers |
Taxonomy Classification: | Psychologist |
Taxonomy Specialization: | Clinical |
Taxonomy Definition: |