Provider Demographics
NPI:1770669335
Name:VERNER, JULIE ANNE (PHD)
Entity Type:Individual
Prefix:DR
First Name:JULIE
Middle Name:ANNE
Last Name:VERNER
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 1:150 E MEDA
Mailing Address - Street 2:SUITE 280
Mailing Address - City:GLENDORA
Mailing Address - State:CA
Mailing Address - Zip Code:91741-2691
Mailing Address - Country:US
Mailing Address - Phone:626-840-7499
Mailing Address - Fax:
Practice Address - Street 1:150 E MEDA
Practice Address - Street 2:SUITE 280
Practice Address - City:GLENDORA
Practice Address - State:CA
Practice Address - Zip Code:91741-2691
Practice Address - Country:US
Practice Address - Phone:626-840-7499
Practice Address - Fax:
Is Sole Proprietor?:Yes
Enumeration Date:2006-10-27
Last Update Date:2022-09-19
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
CAPSY 23367103TC0700X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes103TC0700XBehavioral Health & Social Service ProvidersPsychologistClinical