Provider Demographics
NPI:1871146936
Name:VIBANDOR, JULIE LYNN HOWELL (MS, LCGC)
Entity type:Individual
Prefix:
First Name:JULIE
Middle Name:LYNN HOWELL
Last Name:VIBANDOR
Suffix:
Gender:F
Credentials:MS, LCGC
Other - Prefix:MS
Other - First Name:JULIE
Other - Middle Name:LYNN
Other - Last Name:HOWELL
Other - Suffix:
Other - Last Name Type:Former Name
Other - Credentials:MS, LCGC
Mailing Address - Street 1:1707 BRANCH CREEK CV
Mailing Address - Street 2:
Mailing Address - City:LAWRENCEVILLE
Mailing Address - State:GA
Mailing Address - Zip Code:30043-3279
Mailing Address - Country:US
Mailing Address - Phone:937-239-5320
Mailing Address - Fax:
Practice Address - Street 1:20 GLENLAKE PKWY
Practice Address - Street 2:
Practice Address - City:SANDY SPRINGS
Practice Address - State:GA
Practice Address - Zip Code:30328-3431
Practice Address - Country:US
Practice Address - Phone:404-365-0966
Practice Address - Fax:
Is Sole Proprietor?:No
Enumeration Date:2019-07-18
Last Update Date:2025-10-21
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
GA549170300000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes170300000XOther Service ProvidersGenetic Counselor, MS