Provider Demographics
NPI:1063999324
Name:NORTON, JULIE A
Entity type:Individual
Prefix:
First Name:JULIE
Middle Name:A
Last Name:NORTON
Suffix:
Gender:F
Credentials:
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:5610 SCOTTS VALLEY DR # B-261
Mailing Address - Street 2:
Mailing Address - City:SCOTTS VALLEY
Mailing Address - State:CA
Mailing Address - Zip Code:95066-3473
Mailing Address - Country:US
Mailing Address - Phone:831-471-7833
Mailing Address - Fax:
Practice Address - Street 1:1840 CAMINO DE LOS ROBLES
Practice Address - Street 2:
Practice Address - City:MENLO PARK
Practice Address - State:CA
Practice Address - Zip Code:94025-5913
Practice Address - Country:US
Practice Address - Phone:831-471-7833
Practice Address - Fax:
Is Sole Proprietor?:Yes
Enumeration Date:2018-07-19
Last Update Date:2020-04-09
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
CA53057106H00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes106H00000XBehavioral Health & Social Service ProvidersMarriage & Family Therapist