Delettre, Julie L

Delettre, Julie L is an sole proprietor health care provider with primary practice located at 1223 Gateway Dr Ste 2G , Melbourne FL 32901-2607. She recently has 2 registered licenses in different health care specialties including Behavioral Health & Social Service Providers / Clinical, Behavioral Health & Social Service Providers / Clinical Neuropsychologist. Behavioral Health & Social Service Providers / Clinical Neuropsychologist is her primary health care specialty. Delettre, Julie L can be contacted via phone (321) 725-4500.

Contact Information

Primary practice address
1223 Gateway Dr Ste 2G Melbourne FL 32901-2607
Phone: (321) 725-4500
Fax: (321) 722-6033
Website:
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Health care specialties

SpecialtyCodeLicense #State
Behavioral Health & Social Service Providers / Clinical 103TC0700X PY8586 Florida
Behavioral Health & Social Service Providers / Clinical Neuropsychologist 103G00000X PY8586 Florida

Profile Details

NPI number 1588913735
LBN Legal business name Delettre, Julie L
Credentials PSY.D.
Entity Individual
Sole proprietor 1 Yes
Enumeration date Sep 4th, 2012
Last updated May 1st, 2018 - about 6 years ago

1 A sole proprietor/sole proprietorship is an individual, and in that capacity, is qualified for a solitary NPI number. The sole proprietor have to apply for the NPI number using his or her own particular Social Security Number (SSN), instead of Employer Identification Number (EIN) regardless of whether he/she has an EIN.

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Identifiers

StateTypeNumberIssuer
All States NPI 1588913735 NPPES
Florida Other GT228X MEDICARE

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