Basic Information
| Provider Information | |||||||||
| NPI: | 1750325262 | ||||||||
| EntityType: | 1 | ||||||||
| ReplacementNPI: | |||||||||
| OrganizationName: | |||||||||
| LastName: | JAMES | ||||||||
| FirstName: | RICHARD | ||||||||
| MiddleName: | ELMER | ||||||||
| NamePrefix: | DR. | ||||||||
| NameSuffix: | |||||||||
| Credential: | ED. B, PH.D | ||||||||
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| Mailing Information | |||||||||
| Address1: | 500 HANCOCK STREET | ||||||||
| Address2: | |||||||||
| City: | SAGINAW | ||||||||
| State: | MI | ||||||||
| PostalCode: | 486024224 | ||||||||
| CountryCode: | US | ||||||||
| TelephoneNumber: | 9897973400 | ||||||||
| FaxNumber: | 9897990206 | ||||||||
| Practice Location | |||||||||
| Address1: | 1107 HOUND DOG TRL | ||||||||
| Address2: | |||||||||
| City: | SAINT HELEN | ||||||||
| State: | MI | ||||||||
| PostalCode: | 486569538 | ||||||||
| CountryCode: | US | ||||||||
| TelephoneNumber: | 9898082979 | ||||||||
| FaxNumber: | 9896323325 | ||||||||
| Other Information | |||||||||
| ProviderEnumerationDate: | 06/15/2006 | ||||||||
| LastUpdateDate: | 08/10/2021 | ||||||||
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| ProviderGenderCode: | M | ||||||||
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| IsSoleProprietor: | N | ||||||||
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| NPICertificationDate: | 08/10/2021 | ||||||||
Taxonomy Information
| Taxonomy | License | State | Switch | TaxonomyGroup | TaxonomyType | TaxonomyClass | SubSpecialty | 103T00000X | 6301012343 | MI | Y | Behavioral Health & Social Service Providers | Psychologist |
No ID Information.