Healthcare Provider Details

I. General information

NPI: 1013295914
Provider Name (Legal Business Name): JULIA HITCH PH.D.
Entity Type: Individual
Gender: Female
Sole Proprietor: N

II. Dates (important events)

Enumeration Date: 07/26/2011
Last Update Date: 08/07/2012
Certification Date:
Deactivation Date:
Reactivation Date:

III. Provider practice location address

3417 EVANSTON AVE N SUITE 308
SEATTLE WA
98103-8626
US

IV. Provider business mailing address

3417 EVANSTON AVE N SUITE 308
SEATTLE WA
98103-8626
US

V. Phone/Fax

Practice location:
  • Phone: 206-601-4243
  • Fax:
Mailing address:
  • Phone: 206-601-4243
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code103TB0200X
TaxonomyCognitive & Behavioral Psychologist
License Number
License Number State
# 2
Primary TaxonomyN
Taxonomy Code103TC2200X
TaxonomyClinical Child & Adolescent Psychologist
License Number
License Number State
# 3
Primary TaxonomyN
Taxonomy Code103TF0000X
TaxonomyFamily Psychologist
License Number
License Number State
# 4
Primary TaxonomyN
Taxonomy Code103TP2701X
TaxonomyGroup Psychotherapy Psychologist
License Number
License Number State

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: