Provider Demographics
NPI:1316440191
Name:D'ARGENT, JULIE (PHD, HSPP)
Entity type:Individual
Prefix:DR
First Name:JULIE
Middle Name:
Last Name:D'ARGENT
Suffix:
Gender:F
Credentials:PHD, HSPP
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:205 N COLLEGE AVE STE 430
Mailing Address - Street 2:
Mailing Address - City:BLOOMINGTON
Mailing Address - State:IN
Mailing Address - Zip Code:47404-3522
Mailing Address - Country:US
Mailing Address - Phone:812-349-8979
Mailing Address - Fax:812-909-6017
Practice Address - Street 1:205 N COLLEGE AVE STE 430
Practice Address - Street 2:
Practice Address - City:BLOOMINGTON
Practice Address - State:IN
Practice Address - Zip Code:47404
Practice Address - Country:US
Practice Address - Phone:812-349-8979
Practice Address - Fax:812-909-6017
Is Sole Proprietor?:Yes
Enumeration Date:2018-03-17
Last Update Date:2018-06-26
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
IN20042789A103TC1900X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes103TC1900XBehavioral Health & Social Service ProvidersPsychologistCounseling