Provider Demographics
NPI:1033790282
Name:GORELIK, JULIA (PHD)
Entity Type:Individual
Prefix:DR
First Name:JULIA
Middle Name:
Last Name:GORELIK
Suffix:
Gender:F
Credentials:PHD
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:1842 MCGILVRA BLVD E
Mailing Address - Street 2:
Mailing Address - City:SEATTLE
Mailing Address - State:WA
Mailing Address - Zip Code:98112-3124
Mailing Address - Country:US
Mailing Address - Phone:206-486-6759
Mailing Address - Fax:
Practice Address - Street 1:1842 MCGILVRA BLVD E
Practice Address - Street 2:
Practice Address - City:SEATTLE
Practice Address - State:WA
Practice Address - Zip Code:98112-3124
Practice Address - Country:US
Practice Address - Phone:206-486-6759
Practice Address - Fax:
Is Sole Proprietor?:Yes
Enumeration Date:2021-04-19
Last Update Date:2021-04-19
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
WA60667244103TS0200X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes103TS0200XBehavioral Health & Social Service ProvidersPsychologistSchool