Doctor Name: | MRS. JULIE MARY TERESE GILL |
NPI Number: | 1033346689 |
Entity Type Code: | Individual (1) |
Gender: | F |
Credentials: | MA |
License Number: | 3328572 |
Business Practice Address: | 19871 W Fremont Buckeye, AZ - 853269512 |
Business Phone Number: | 6233272940 |
Business Fax Number: | |
Mailing Address: | 19871 W Fremont, BUCKEYE |
State: | AZ |
Postal Code: | 853269512 |
Phone Number: | 6233272940 |
Fax Number: | |
NPI Enumeration Date: | 06/22/2009 |
NPI Last Update Date: | 06/22/2009 |
Replacement NPI: | 0 |
NPI Deactivation Date: | |
NPI Reactivation Date: |
Taxonomy Information: | |
Healthcare Provider Taxonomy: | 103TS0200X |
License Number: | 3328572 |
Healthcare Provider Taxonomy: (Secondary) | Y |
State: | AZ |
Taxonomy Type: | Behavioral Health & Social Service Providers |
Taxonomy Classification: | Psychologist |
Taxonomy Specialization: | School |
Taxonomy Definition: |