MEDICARE: MS. JULIE A. MAJOR PSYD

Medicare Provider Information

Scope of Practice

The following information about the specialty of the provider is available:

#	Taxonomy Code	Taxonomy	License Number	License Number State
1	103TC0700X	Clinical Psychologist	PY00001860	WA

Other Identifiers

#	Provider Identifier	Provider Identifier Type	Provider Identifier State	Provider Identifier Issuer
1	169367	OTHER	WA	L&I PROVIDER ID

General Provider Information

NPI Number	:	1770616948
Entity Type Code	:	Individual
Provider Name (Legal Business Name)	:	MS. JULIE A. MAJOR PSYD

Provider Business Mailing Address
First Line	:	1116 KEY ST STE 200
Second Line	:
City	:	BELLINGHAM
State	:	WA
Zip	:	98225-5232
Country	:	US
Telephone Number	:	360-734-7146
Fax Number	:	360-671-0981

Provider Business Practice Location Address
First Line	:	1116 KEY ST STE 200
Second Line	:
City	:	BELLINGHAM
State	:	WA
Zip	:	98225-5232
Country	:	US
Telephone Number	:	360-734-7146
Fax Number	:	360-671-0981

Authorized Official
Title or Position	:
Name	:
Credential	:
Telephone Number	:

Provider Enumeration Date	:	03/14/2007
Last Update Date	:	12/01/2011

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