Dr. Julie Lynn King, Ph.D.
Psychologist, Clinical in Bend, OR. Individual provider (NPI-1).
NPI number1487796512
StatusActive
Last updated in NPPESJan 7, 2025
Details
- NPI
- 1487796512
- Entity type
- Individual (NPI-1)
- Name
- Dr. Julie Lynn King
- Credential
- Ph.D.
- Sex
- Female
- Sole proprietor
- Yes
- Enumeration date
- Feb 13, 2007
- Certification date
- Jan 7, 2025
- Last updated
- Jan 7, 2025
Taxonomy and licenses
| Taxonomy code | Description | License | State | Primary |
|---|---|---|---|---|
| 103TC0700X | Psychologist, Clinical | 1251 | OR | Yes |
| 103T00000X | Psychologist | 1251 | OR | |
| 103TC1900X | Psychologist, Counseling | 1251 | OR | |
| 101YP2500X | Counselor, Professional | 1251 | OR |
Practice location
15 Sw Colorado Ave Ste 130Bend, OR 97702-1148
Phone 541-388-3534
Mailing address
15 Sw Colorado Ave Ste 130Bend, OR 97702-1148
Phone 541-388-1952
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