Healthcare Provider Details

I. General information

NPI: 1689582371
Provider Name (Legal Business Name): DR. CAMILLE ST. JAMES PSYCHOLOGICAL SERVICES, LLC
Entity Type: Organization
Gender:
Sole Proprietor:

II. Dates (important events)

Enumeration Date: 09/01/2026
Last Update Date: 09/09/2026
Certification Date: 09/09/2026
Deactivation Date:
Reactivation Date:

III. Provider practice location address

1208 BODEN PL
FT WASHINGTON PA
19034-1504
US

IV. Provider business mailing address

1208 BODEN PL
FT WASHINGTON PA
19034-1504
US

V. Phone/Fax

Practice location:
  • Phone: 215-715-3896
  • Fax:
Mailing address:
  • Phone: 215-715-3896
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code103TC0700X
TaxonomyClinical Psychologist
License Number
License Number State

VIII. Authorized Official

Name: DR. CAMILLE ST. JAMES
Title or Position: OWNER
Credential: PSYD
Phone: 215-715-3896