Healthcare Provider Details

I. General information

NPI: 1942896600
Provider Name (Legal Business Name): ANA LAURA JAMES PHD
Entity Type: Individual
Gender: Female
Sole Proprietor: N

II. Dates (important events)

Enumeration Date: 12/17/2020
Last Update Date: 12/19/2024
Certification Date: 12/19/2024
Deactivation Date:
Reactivation Date:

III. Provider practice location address

2629 E YANDELL DR STE A
EL PASO TX
79903-3724
US

IV. Provider business mailing address

2629 E YANDELL DR STE A
EL PASO TX
79903-3724
US

V. Phone/Fax

Practice location:
  • Phone: 915-233-7145
  • Fax: 915-200-0698
Mailing address:
  • Phone: 915-233-7145
  • Fax: 915-200-0698

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyN
Taxonomy Code103TC1900X
TaxonomyCounseling Psychologist
License Number37847
License Number StateTX
# 2
Primary TaxonomyN
Taxonomy Code103TP2701X
TaxonomyGroup Psychotherapy Psychologist
License Number37847
License Number StateTX
# 3
Primary TaxonomyY
Taxonomy Code103TC0700X
TaxonomyClinical Psychologist
License Number37847
License Number StateTX
# 4
Primary TaxonomyN
Taxonomy Code103T00000X
TaxonomyPsychologist
License Number
License Number State

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: