Gallant, Julia

Gallant, Julia is an individual health care provider with primary practice located at 128 State St Ste 3 , Augusta ME 04330-5630. She recently has only one registered license in Physician Assistants & Advanced Practice Nursing Providers / Psychiatric/Mental Health, which is considered as her primary health care specialty. Gallant, Julia can be contacted via phone (828) 505-6636.

Contact Information

Primary practice address
128 State St Ste 3 Augusta ME 04330-5630
Phone: (828) 505-6636
Fax:
Website:
Map and Directions

Health care specialties

SpecialtyCodeLicense #State
Physician Assistants & Advanced Practice Nursing Providers / Psychiatric/Mental Health 363LP0808X 55392 New Mexico
Physician Assistants & Advanced Practice Nursing Providers / Psychiatric/Mental Health 363LP0808X 5007510 North Carolina
Physician Assistants & Advanced Practice Nursing Providers / Psychiatric/Mental Health 363LP0808X CNP211652 Maine

Profile Details

NPI number 1619037454
LBN Legal business name Gallant, Julia
Credentials PMHNP
Entity Individual
Sole proprietor 1 No
Enumeration date Dec 11th, 2006
Last updated Feb 27th, 2023 - about last year

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 1619037454 NPPES
North Carolina MEDICAID 1619037454

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