Healthcare Provider Details

I. General information

NPI: 1770861635
Provider Name (Legal Business Name): ROBERT M. JAMES, JR., PH.D., P.A.
Entity Type: Organization
Gender:
Sole Proprietor:

II. Dates (important events)

Enumeration Date: 07/26/2011
Last Update Date: 07/26/2011
Certification Date:
Deactivation Date:
Reactivation Date:

III. Provider practice location address

6208 FAYETTEVILLE RD SUITE 106
DURHAM NC
27713-6286
US

IV. Provider business mailing address

6208 FAYETTEVILLE RD SUITE 106
DURHAM NC
27713-6286
US

V. Phone/Fax

Practice location:
  • Phone: 919-317-1449
  • Fax: 919-220-0413
Mailing address:
  • Phone: 919-317-1449
  • Fax: 919-220-0413

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code103TC1900X
TaxonomyCounseling Psychologist
License Number2115
License Number StateNC

VIII. Authorized Official

Name: DR. ROBERT MILTON JAMES JR.
Title or Position: PRESIDENT/SECRETARY
Credential: PH.D.
Phone: 919-317-1449