Provider Demographics
NPI:1720241250
Name:TRELAND, JULIA ELIZABETH (PHD)
Entity Type:Individual
Prefix:
First Name:JULIA
Middle Name:ELIZABETH
Last Name:TRELAND
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 1:2377 GOLD MEADOW WAY
Mailing Address - Street 2:SUITE 100
Mailing Address - City:GOLD RIVER
Mailing Address - State:CA
Mailing Address - Zip Code:95670-4405
Mailing Address - Country:US
Mailing Address - Phone:916-215-8278
Mailing Address - Fax:916-903-7181
Practice Address - Street 1:2377 GOLD MEADOW WAY
Practice Address - Street 2:SUITE 100
Practice Address - City:GOLD RIVER
Practice Address - State:CA
Practice Address - Zip Code:95670-4405
Practice Address - Country:US
Practice Address - Phone:916-215-8278
Practice Address - Fax:916-903-7181
Is Sole Proprietor?:Yes
Enumeration Date:2008-07-03
Last Update Date:2013-05-14
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
CA25552103TC0700X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes103TC0700XBehavioral Health & Social Service ProvidersPsychologistClinical