Provider Demographics
NPI:1528135845
Name:BELDIN, JULIE MARIE (LMP)
Entity type:Individual
Prefix:MS
First Name:JULIE
Middle Name:MARIE
Last Name:BELDIN
Suffix:
Gender:F
Credentials:LMP
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:1314 CLEVELAND AVE
Mailing Address - Street 2:
Mailing Address - City:MOUNT VERNON
Mailing Address - State:WA
Mailing Address - Zip Code:98273-4812
Mailing Address - Country:US
Mailing Address - Phone:360-941-3253
Mailing Address - Fax:
Practice Address - Street 1:1314 CLEVELAND AVE
Practice Address - Street 2:
Practice Address - City:MOUNT VERNON
Practice Address - State:WA
Practice Address - Zip Code:98273-4812
Practice Address - Country:US
Practice Address - Phone:360-941-3253
Practice Address - Fax:
Is Sole Proprietor?:Yes
Enumeration Date:2006-11-30
Last Update Date:2007-07-08
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
WAMA00019027174400000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes174400000XOther Service ProvidersSpecialist