Healthcare Provider Details

I. General information

NPI: 1194984617
Provider Name (Legal Business Name): CHRISTINE LAWHON JAMES PHD
Entity Type: Individual
Gender: Female
Sole Proprietor: Y

II. Dates (important events)

Enumeration Date: 06/09/2008
Last Update Date: 06/09/2008
Certification Date:
Deactivation Date:
Reactivation Date:

III. Provider practice location address

3020 CHILDRENS WAY MC 5081
SAN DIEGO CA
92123-4223
US

IV. Provider business mailing address

3020 CHILDRENS WAY MC 5081
SAN DIEGO CA
92123-4223
US

V. Phone/Fax

Practice location:
  • Phone: 858-476-1700
  • Fax: 858-966-6770
Mailing address:
  • Phone: 858-476-1700
  • Fax: 858-966-6770

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code103TH0004X
TaxonomyHealth Psychologist
License NumberPSY21966
License Number StateCA

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: