| Julie A. States, PhD, PLLC | |
|
229 W Foster Ave State College PA 16801-4823 | |
| (814) 238-1880 | |
| (814) 867-2794 |
| Full Name | Julie A. States, PhD, PLLC |
|---|---|
| Speciality | Community/Behavioral Health |
| Location | 229 W Foster Ave, State College, Pennsylvania |
| Authorized Official Name and Position | Julie a States (PSYCHOLOGIST) |
| Authorized Official Contact | 8142381880 |
| Accepts Medicare Insurance | Yes. This clinic participates in medicare program and accept medicare insurance. |
| Mailing Address | Practice Location Address |
|---|---|
| Julie A. States, PhD, PLLC 229 W Foster Ave State College PA 16801-4823 Ph: (814) 238-1880 | Julie A. States, PhD, PLLC 229 W Foster Ave State College PA 16801-4823 Ph: (814) 238-1880 |
| NPI Number | 1578068581 |
|---|---|
| Provider Enumeration Date | 03/30/2018 |
| Last Update Date | 03/30/2018 |
| Medicare PECOS PAC ID | 6507304375 |
|---|---|
| Medicare Enrollment ID | O20240813000270 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1578068581 | NPI | - | NPPES |
| 617791 | Medicaid | PA |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 251S00000X | Community/behavioral Health | PS0105297 (Pennsylvania) | Primary |
| Provider Name | Julie Ann States |
|---|---|
| Provider Type | Practitioner - Clinical Psychologist |
| Provider Identifiers | NPI Number: 1104889450 PECOS PAC ID: 9739155680 Enrollment ID: I20040902000750 |
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