Provider Demographics
NPI:1609135987
Name:SCHWARTZ GOTTMAN, JULIE (PHD)
Entity Type:Individual
Prefix:DR
First Name:JULIE
Middle Name:
Last Name:SCHWARTZ GOTTMAN
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:PO BOX 146
Mailing Address - Street 2:
Mailing Address - City:DEER HARBOR
Mailing Address - State:WA
Mailing Address - Zip Code:98243-0146
Mailing Address - Country:US
Mailing Address - Phone:360-376-4963
Mailing Address - Fax:
Practice Address - Street 1:1689 SPRING POINT RD.
Practice Address - Street 2:
Practice Address - City:DEER HARBOR
Practice Address - State:WA
Practice Address - Zip Code:98243-0146
Practice Address - Country:US
Practice Address - Phone:360-376-4963
Practice Address - Fax:
Is Sole Proprietor?:Yes
Enumeration Date:2012-05-08
Last Update Date:2012-05-08
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
WA1304103T00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes103T00000XBehavioral Health & Social Service ProvidersPsychologist