Primary | Taxonomy Code | Taxonomy Specialty | License Number | License State |
---|---|---|---|---|
N | 102L00000X | Psychologist | 4860 | NC |
N | 103T00000X | Psychologist | 4860 | NC |
Y | 103TH0100X | Health Service | 4860 | NC |
NPI | 1558735423 |
---|---|
Provider Name | Dr. Julie Marie Austen |
First Address | Moncure, NC 27559-9595 |
Second Address | Moncure, NC 27559-9595 |
Gender | F |
NPI Entity type | Individual |
Is Sole Proprietor | No |
Is Organization Subpart | N/A |
Enumeration Date | 16/11/2015 |
Last Update Date | 08/05/2017 |