Provider Demographics
NPI:1417173261
Name:LINDLEY, JULIE A (PSYD)
Entity Type:Individual
Prefix:DR
First Name:JULIE
Middle Name:A
Last Name:LINDLEY
Suffix:
Gender:F
Credentials:PSYD
Other - Prefix:
Other - First Name:
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Other - Credentials:
Mailing Address - Street 1:PO BOX 189
Mailing Address - Street 2:CDSA
Mailing Address - City:ELIZABETH CITY
Mailing Address - State:NC
Mailing Address - Zip Code:27907-0189
Mailing Address - Country:US
Mailing Address - Phone:252-338-4044
Mailing Address - Fax:252-337-7928
Practice Address - Street 1:1417 PARKVIEW DR
Practice Address - Street 2:CDSA
Practice Address - City:ELIZABETH CITY
Practice Address - State:NC
Practice Address - Zip Code:27909-6533
Practice Address - Country:US
Practice Address - Phone:252-338-4044
Practice Address - Fax:252-337-7928
Is Sole Proprietor?:Yes
Enumeration Date:2007-04-18
Last Update Date:2007-07-08
Deactivation Date:
Deactivation Code:
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Provider Licenses
StateLicense IDTaxonomies
NC1443103TC0700X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes103TC0700XBehavioral Health & Social Service ProvidersPsychologistClinical