Provider Demographics
NPI:1437291481
Name:MILLARD, JULIET E (PHD)
Entity Type:Individual
Prefix:DR
First Name:JULIET
Middle Name:E
Last Name:MILLARD
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 1:17024 MAPLE DR
Mailing Address - Street 2:
Mailing Address - City:BOWLING GREEN
Mailing Address - State:VA
Mailing Address - Zip Code:22427-2416
Mailing Address - Country:US
Mailing Address - Phone:804-633-9993
Mailing Address - Fax:803-633-9995
Practice Address - Street 1:17024 MAPLE DR
Practice Address - Street 2:
Practice Address - City:BOWLING GREEN
Practice Address - State:VA
Practice Address - Zip Code:22427-2416
Practice Address - Country:US
Practice Address - Phone:804-633-9993
Practice Address - Fax:803-633-9995
Is Sole Proprietor?:No
Enumeration Date:2007-02-13
Last Update Date:2007-07-08
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
VA0701002974101YP2500X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes101YP2500XBehavioral Health & Social Service ProvidersCounselorProfessional
Provider Identifiers
StateIdentifier IDID TypeIssuer
VA199405OtherANTHEM PROVIDER NUMBER
VA7274234OtherAETNA PROVIDER NUMBER
VA103070OtherUBH PROVIDER NUMBER