Provider Demographics
NPI:1326160771
Name:GALTON, JULIE HOPE (PSYD)
Entity Type:Individual
Prefix:DR
First Name:JULIE
Middle Name:HOPE
Last Name:GALTON
Suffix:
Gender:F
Credentials:PSYD
Other - Prefix:DR
Other - First Name:JULIE
Other - Middle Name:GALTON
Other - Last Name:GALE
Other - Suffix:
Other - Last Name Type:Former Name
Other - Credentials:PSYD
Mailing Address - Street 1:2915 HUNTER MILL ROAD, SUITE 14
Mailing Address - Street 2:
Mailing Address - City:OAKTON
Mailing Address - State:VA
Mailing Address - Zip Code:22124
Mailing Address - Country:US
Mailing Address - Phone:703-732-1234
Mailing Address - Fax:703-385-9673
Practice Address - Street 1:2915 HUNTER MILL ROAD, SUITE14
Practice Address - Street 2:
Practice Address - City:OAKTON
Practice Address - State:VA
Practice Address - Zip Code:22124
Practice Address - Country:US
Practice Address - Phone:703-732-1234
Practice Address - Fax:703-385-9673
Is Sole Proprietor?:Yes
Enumeration Date:2007-04-05
Last Update Date:2012-03-08
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
VA0810003755103TC0700X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes103TC0700XBehavioral Health & Social Service ProvidersPsychologistClinical