DR. JULIE ANA CRITTENDON (NPI# 1932419389) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1932419389 |
| Entity Type | Individual |
| Full Name | DR. JULIE ANA CRITTENDON |
| Other Name | JULIE ANA DAVIDSON |
| Credential | PH.D. |
| Practice Address |
226 Creekstone Rdg Woodstock GA 30188-3732 |
| Practice Telephone | 4702282040 |
| Mailing Telephone | 4702282040 |
| Enumeration Date | 2010-10-19 |
| Last Update Date | 2016-08-29 |
| Gender Code | F |
| Is Sole Proprietor | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 103TC0700X |
Psychologist Specialization: Clinical |
PSY003968 | GA | Behavioral Health & Social Service Providers |
| N | 103TC0700X |
Psychologist Specialization: Clinical |
2928 | TN | Behavioral Health & Social Service Providers |
| N | 103K00000X | Behavioral Analyst | 1-11-9444 | Behavioral Health & Social Service Providers |
| State | Issuer | Identifier | Type Code |
|---|---|---|---|
| GA | 003177344A | 05 |
| Street Address |
226 CREEKSTONE RDG |
| City | WOODSTOCK |
| State | GA |
| Zip Code | 30188-3732 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1427422617 | Autism Center for Children | Early Intervention Provider Agency | 226 Creekstone Rdg, Woodstock, GA 30188-3732 | 2015-11-25 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1730715814 | Tyler Rose | Residential Treatment Facility, Mental Retardation and/or Developmental Disabilities | 116 South Mill Creek Court, Woodstock, GA 30188 | 2020-03-20 |
| 1881224897 | Dr. Tom LLC | Clinic/Center | 5431 Old Highway 5 Ste 206, Holly Springs, GA 30188 | 2020-01-17 |
| 1467090175 | Stacey Robin Hill | Dietitian, Registered | 210 Mcaffee St, Street Address 2, Woodstock, GA 30188 | 2019-12-12 |
| 1326681784 | Margo Vanderveen | Massage Therapist | 605 Old Hickory Road, Woodstock, GA 30188 | 2019-10-17 |
| 1275093437 | Rebekah Ruth Tchouta | Social Worker | 5166 Shotwell St, Woodstock, GA 30188 | 2019-03-23 |
| 1205395829 | Angela M Graves | Behavior Technician | 3229 S Cherokee Ln Ste 1400, Woodstock, GA 30188 | 2019-03-13 |
| 1396233391 | Costco Wholesale Corporation | Hearing Aid Equipment | 113 Lincoln Street, Woodstock, GA 30188 | 2018-04-25 |
| 1659878080 | Alexis K. Brown | Counselor | 3380 Trickum Rd., Bldg 700, Woodstock, GA 30188 | 2018-04-11 |
| 1427555440 | Lisa Marie Anthony | Specialist/Technologist | 400 Arnold Mill Rd, Woodstock, GA 30188 | 2018-04-06 |
| 1497254122 | J.a.h. Enterprises, LLC | Audiologist | 12195 Hwy. 92, Suite 114-325, Woodstock, GA 30188 | 2018-02-08 |
| Find all providers in zip 30188 | ||||
| Taxonomy Code | 103TC0700X |
| Grouping | Behavioral Health & Social Service Providers |
| Classification | Psychologist |
| Specialization | Clinical |
| Definition to come... |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1790274421 | Joseph Michael Govia | Psychologist | 83 Witchtree Rd, Woodstock, NY 12498-1941 | 2018-05-08 |
| 1013181528 | Joseph L.j. Schwartz Psy.d. P.C. | Psychologist | 1001 Weatherstone Pkwy Ste 430, Woodstock, GA 30188-4495 | 2008-04-15 |
| 1023221892 | Paige Westerfield | Psychologist | 7 Beeches Ln, Suite 3, Woodstock, CT 06281-3436 | 2007-05-08 |
| 1184753840 | Meredith Burns, Psy.d., P.C. | Psychologist | 3380 Trickum Road, Building 1000, Suite 102, Woodstock, GA 30188 | 2007-03-05 |
| 1134263999 | Kelly Vinehout | Psychologist | 1090 Mcconnell Rd, Woodstock, IL 60098-7310 | 2007-02-16 |
| 1023158391 | Elfe K Robinson | Psychologist | 29 High Rocks Road, Woodstock, NY 12498-8053 | 2007-02-07 |
| 1134268220 | Neil Marinello | Psychologist | 217 Maxham Meadow Way, Ste 1038, Woodstock, VT 05091 | 2007-02-05 |
| 1538235312 | John Roman Lutz | Psychologist | 240 Creekstone Rdg, Woodstock, GA 30188-3732 | 2006-11-25 |
| 1376637835 | Warrem H Kaplan | Psychologist | 8910 Main Street, Woodstock, GA 30188 | 2006-10-02 |
| 1437268125 | Robert W Montgomery | Psychologist | 107 Weatherstone Dr, Suite 530, Woodstock, GA 30188 | 2006-08-29 |
| Find all providers in WOODSTOCK | ||||
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| Data Provider | Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES) |
| Jurisdiction | Medicare & Medicaid |
This dataset includes 5.44 million covered health care providers and all health plans and health care clearinghouses, registered with CMA NPPES. Each provider is registered with National Provider Identifier (NPI), full name, status, address, taxonomy, other identifiers, etc.