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:
Health care specialties
| Specialty | Code | License # | 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 7 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.
Identifiers
| State | Type | Number | Issuer |
|---|---|---|---|
| All States | NPI | 1588913735 | NPPES |
| Florida | Other | GT228X | MEDICARE |
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