Provider Demographics
NPI:1801304282
Name:JULIE H. VERRONE, PSY.D., P.C.
Entity type:Organization
Organization Name:JULIE H. VERRONE, PSY.D., P.C.
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:DIRECTOR/ CHIEF OFFICER
Authorized Official - Prefix:DR
Authorized Official - First Name:JULIE
Authorized Official - Middle Name:H
Authorized Official - Last Name:VERRONE
Authorized Official - Suffix:
Authorized Official - Credentials:PSYD
Authorized Official - Phone:806-781-6316
Mailing Address - Street 1:7021 KEWANEE AVE UNIT 2104
Mailing Address - Street 2:
Mailing Address - City:LUBBOCK
Mailing Address - State:TX
Mailing Address - Zip Code:79424-7049
Mailing Address - Country:US
Mailing Address - Phone:806-687-9414
Mailing Address - Fax:806-687-9415
Practice Address - Street 1:7021 KEWANEE AVE UNIT 2104
Practice Address - Street 2:
Practice Address - City:LUBBOCK
Practice Address - State:TX
Practice Address - Zip Code:79424-7049
Practice Address - Country:US
Practice Address - Phone:806-687-9414
Practice Address - Fax:806-687-9415
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2018-01-19
Last Update Date:2018-01-19
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
TX26862103TC0700X
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes103TC0700XBehavioral Health & Social Service ProvidersPsychologistClinicalGroup - Single Specialty