Primary | Taxonomy Code | Taxonomy Specialty | License Number | License State |
---|---|---|---|---|
Y | 103G00000X | Clinical Psychologist | 3707 | NJ |
Y | 103TC0700X | Clinical Psychologist | 3707 | NJ |
N | 103TH0100X | Health Service | 3707 | NJ |
NPI | 1477574143 |
---|---|
Provider Name | Dr. Julie K. Alter |
First Address | Millburn, NJ 07041-1635 |
Second Address | Millburn, NJ 07041-1635 |
Gender | F |
NPI Entity type | Individual |
Is Sole Proprietor | Yes |
Is Organization Subpart | N/A |
Enumeration Date | 21/07/2006 |
Last Update Date | 12/08/2007 |