MEDICARE: ELIZABETH M. JAMES, INC.

Medicare Provider Information

Scope of Practice

The following information about the specialty of the provider is available:

#	Taxonomy Code	Taxonomy	License Number	License Number State
1	103T00000X	Psychologist	PY0336	NV

General Provider Information

NPI Number	:	1689755738
Entity Type Code	:	Organization
Provider Name (Legal Business Name)	:	ELIZABETH M. JAMES, INC.

Provider Business Mailing Address
First Line	:	1771 E FLAMINGO RD
Second Line	:	SUITE 112-B
City	:	LAS VEGAS
State	:	NV
Zip	:	89119-5155
Country	:	US
Telephone Number	:	702-641-2422
Fax Number	:	702-893-9655

Provider Business Practice Location Address
First Line	:	1771 E FLAMINGO RD
Second Line	:	SUITE 112-B
City	:	LAS VEGAS
State	:	NV
Zip	:	89119-5155
Country	:	US
Telephone Number	:	702-641-2422
Fax Number	:	702-893-9655

Authorized Official
Title or Position	:	PRESIDENT
Name	:	DR. ELIZABETH M. JAMES
Credential	:	PH.D.
Telephone Number	:	702-641-2422

Provider Enumeration Date	:	10/17/2006
Last Update Date	:	08/22/2020

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