Provider Demographics
NPI:1952421026
Name:VERRONE, JULIE HAMILTON (PSYD)
Entity Type:Individual
Prefix:DR
First Name:JULIE
Middle Name:HAMILTON
Last Name:VERRONE
Suffix:
Gender:F
Credentials:PSYD
Other - Prefix:DR
Other - First Name:JULIE
Other - Middle Name:ANN
Other - Last Name:HAMILTON
Other - Suffix:
Other - Last Name Type:Former Name
Other - Credentials:PSYD
Mailing Address - Street 1:7021 KEWANEE AVE
Mailing Address - Street 2:UNIT 2104
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
Practice Address - Street 2:UNIT 2104
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
Is Sole Proprietor?:Yes
Enumeration Date:2007-03-30
Last Update Date:2013-05-13
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
TX26862103TC0700X, 103T00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes103TC0700XBehavioral Health & Social Service ProvidersPsychologistClinical
No103T00000XBehavioral Health & Social Service ProvidersPsychologist