Healthcare Provider Details

I. General information

NPI: 1881610897
Provider Name (Legal Business Name): JULIE GALAT MA
Entity Type: Individual
Gender: Female
Sole Proprietor: N

II. Dates (important events)

Enumeration Date: 07/14/2006
Last Update Date: 03/06/2025
Certification Date: 03/06/2025
Deactivation Date:
Reactivation Date:

III. Provider practice location address

2020 RAYBROOK ST SE STE 308
GRAND RAPIDS MI
49546-7717
US

IV. Provider business mailing address

2020 RAYBROOK ST SE STE 308
GRAND RAPIDS MI
49546-7717
US

V. Phone/Fax

Practice location:
  • Phone: 616-649-1010
  • Fax: 616-551-2895
Mailing address:
  • Phone: 616-649-1010
  • Fax: 616-551-2895

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code103TC0700X
TaxonomyClinical Psychologist
License Number6301012032
License Number StateMI

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: