Healthcare Provider Details

I. General information

NPI: 1639738024
Provider Name (Legal Business Name): KARA JAMES
Entity Type: Individual
Gender: Female
Sole Proprietor: Y

II. Dates (important events)

Enumeration Date: 06/10/2019
Last Update Date: 06/10/2019
Certification Date:
Deactivation Date:
Reactivation Date:

III. Provider practice location address

848 PEIRSON AVE
NEWARK NY
14513-9762
US

IV. Provider business mailing address

6251 GOODALE RD
CANANDAIGUA NY
14424-8969
US

V. Phone/Fax

Practice location:
  • Phone: 315-331-2086
  • Fax:
Mailing address:
  • Phone:
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code103TS0200X
TaxonomySchool Psychologist
License Number
License Number State

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: