Provider Demographics
NPI:1184419830
Name:PRATTE, JULIE (PSYD)
Entity type:Individual
Prefix:DR
First Name:JULIE
Middle Name:
Last Name:PRATTE
Suffix:
Gender:
Credentials:PSYD
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:611 E 782 N
Mailing Address - Street 2:
Mailing Address - City:WESTVILLE
Mailing Address - State:IN
Mailing Address - Zip Code:46391-9654
Mailing Address - Country:US
Mailing Address - Phone:219-256-2259
Mailing Address - Fax:
Practice Address - Street 1:408 S CARROLL AVE
Practice Address - Street 2:
Practice Address - City:MICHIGAN CITY
Practice Address - State:IN
Practice Address - Zip Code:46360-5345
Practice Address - Country:US
Practice Address - Phone:219-873-2000
Practice Address - Fax:
Is Sole Proprietor?:Yes
Enumeration Date:2025-04-14
Last Update Date:2025-04-14
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
IN000006360103TS0200X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes103TS0200XBehavioral Health & Social Service ProvidersPsychologistSchool