Provider Demographics
NPI:1346559713
Name:JULIA GATTI PHD PSYCHOLOGIST, INC
Entity Type:Organization
Organization Name:JULIA GATTI PHD PSYCHOLOGIST, INC
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:PSYCHOLOGIST
Authorized Official - Prefix:DR
Authorized Official - First Name:JULIA
Authorized Official - Middle Name:
Authorized Official - Last Name:GATTI
Authorized Official - Suffix:
Authorized Official - Credentials:PHD
Authorized Official - Phone:724-766-3620
Mailing Address - Street 1:215 EXECUTIVE DR
Mailing Address - Street 2:SUITE 102
Mailing Address - City:CRANBERRY TWP
Mailing Address - State:PA
Mailing Address - Zip Code:16066-6406
Mailing Address - Country:US
Mailing Address - Phone:724-766-3620
Mailing Address - Fax:
Practice Address - Street 1:215 EXECUTIVE DR
Practice Address - Street 2:SUITE 102
Practice Address - City:CRANBERRY TWP
Practice Address - State:PA
Practice Address - Zip Code:16066-6406
Practice Address - Country:US
Practice Address - Phone:724-766-3620
Practice Address - Fax:
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2010-10-01
Last Update Date:2010-10-01
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
PAPS006387-L103T00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes103T00000XBehavioral Health & Social Service ProvidersPsychologistGroup - Single Specialty
Provider Identifiers
StateIdentifier IDID TypeIssuer
PA475847OtherMEDICARE