Healthcare Provider Details
I. General information
NPI: 1538697735
Provider Name (Legal Business Name): BARBARA ELIZABETH JAMES PH.D.
Entity Type: Individual
Gender: Female
Sole Proprietor: Y
II. Dates (important events)
Enumeration Date: 06/01/2017
Last Update Date: 08/17/2023
Certification Date: 08/17/2023
Deactivation Date:
Reactivation Date:
III. Provider practice location address
444 W FORT ST FL 2
BOISE ID
83702-4535
US
IV. Provider business mailing address
3328 N BROADWAY ST APT A304
KNOXVILLE TN
37917-2765
US
V. Phone/Fax
- Phone: 208-422-1018
- Fax:
- Phone: 931-224-7761
- Fax:
VI. Provider taxonomy
Scope of Practice (Provider specialty)
| # 1 | |
| Primary Taxonomy | N |
| Taxonomy Code | 103TC0700X |
| Taxonomy | Clinical Psychologist |
| License Number | 3505 |
| License Number State | TN |
| # 2 | |
| Primary Taxonomy | Y |
| Taxonomy Code | 103TC1900X |
| Taxonomy | Counseling Psychologist |
| License Number | 3505 |
| License Number State | TN |
VIII. Authorized Official
Name:
Title or Position:
Credential:
Phone: