Most Relevant Information
Provider Data
| NPI Number: | 1003012295 |
| Provider Name: | JULIE ANN LANDIS PH.D. |
| Entity Type: | Individual |
| Taxonomy Code: | 103TS0200X |
| Specialty: | Psychologist |
| License Number: | 25075 |
Most Important Dates
| Enumeration Date: | 06/25/2007 |
| Last Updated: | 07/08/2007 |
Provider Practice Location
4747 BELLAIRE BLVD
SUITE 550
BELLAIRE
TX
774014527
Practice Location Phone/Fax
| Phone: | 7136660966 |
| Fax: | 7136660987 |
Provider Mailing Location
4747 BELLAIRE BLVD
SUITE 550
BELLAIRE
TX
774014527
Provider Mailing Phone/Fax
| Phone: | 7136660966 |
| Fax: | 7136660987 |