Provider Demographics
NPI:1700912938
Name:GARTNER, JULIE A (MA, NCC, LPC)
Entity Type:Individual
Prefix:
First Name:JULIE
Middle Name:A
Last Name:GARTNER
Suffix:
Gender:F
Credentials:MA, NCC, LPC
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:760 NEWTOWN YARDLEY RD
Mailing Address - Street 2:SUITE 124
Mailing Address - City:NEWTOWN
Mailing Address - State:PA
Mailing Address - Zip Code:18940-4500
Mailing Address - Country:US
Mailing Address - Phone:267-992-0609
Mailing Address - Fax:215-579-1448
Practice Address - Street 1:760 NEWTOWN YARDLEY RD
Practice Address - Street 2:SUITE 124
Practice Address - City:NEWTOWN
Practice Address - State:PA
Practice Address - Zip Code:18940-4500
Practice Address - Country:US
Practice Address - Phone:267-992-0609
Practice Address - Fax:215-579-1448
Is Sole Proprietor?:Yes
Enumeration Date:2007-02-23
Last Update Date:2014-03-03
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
PAPC003555101YP2500X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes101YP2500XBehavioral Health & Social Service ProvidersCounselorProfessional