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General NPI Number Information
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NPI Number | 1689064016
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Entity Type | Individual
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Provider Name | JULIA BARTA PSYD
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Gender | Female
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Dates
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Enumeration Date | 01/23/2015
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Last Update Date | 08/08/2025
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Provider Practice Location Address
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Address Line | 1220 4TH AVE E
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City | OLYMPIA
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State | WA
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Zip | 98506-4212
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Country | US
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Telephone | 669-247-1955
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Fax | 877-463-7833
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Provider Business Mailing Address
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Address Line | 1220 4TH AVE E
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City | OLYMPIA
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State | WA
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Zip | 98506-4212
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Country | US
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Telephone | 877-463-7833
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Fax |
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Authorized Official
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Title or Position |
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Name |
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Credential |
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Telephone |
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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Taxonomy Code | 103TS0200X
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Taxonomy Name | School Psychologist
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License Number | 76486
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License Number State | DE
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Taxonomy #2
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Taxonomy Code | 103TM1800X
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Taxonomy Name | Intellectual & Developmental Disabilities Psychologist
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License Number |
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License Number State | WA
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Taxonomy #3
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Taxonomy Code | 101YM0800X
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Taxonomy Name | Mental Health Counselor
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License Number | MX61148490
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License Number State |
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