Doctor Name: | DR. JAMES EDWIN MCKEEVER |
NPI Number: | 1043331226 |
Entity Type Code: | Individual (1) |
Gender: | M |
Credentials: | PH.D. |
License Number: | 1300 |
Business Practice Address: | 345 Knechtel Way Ne Suite 111 Bainbridge Island, WA - 981102860 |
Business Phone Number: | 2068429949 |
Business Fax Number: | 2067800824 |
Mailing Address: | 345 Knechtel Way Ne, Suite 111 BAINBRIDGE ISLAND |
State: | WA |
Postal Code: | 981102860 |
Phone Number: | 2068429949 |
Fax Number: | 2067800824 |
NPI Enumeration Date: | 04/03/2007 |
NPI Last Update Date: | 03/23/2010 |
Replacement NPI: | 0 |
NPI Deactivation Date: | |
NPI Reactivation Date: |
Taxonomy Information: | |
Healthcare Provider Taxonomy: | 103G00000X |
License Number: | 1300 |
Healthcare Provider Taxonomy: (Secondary) | N |
State: | WA |
Taxonomy Type: | Behavioral Health & Social Service Providers |
Taxonomy Classification: | Clinical Neuropsychologist |
Taxonomy Specialization: | |
Taxonomy Definition: | An individual with a doctorate degree, licensure in clinical psychology and specialized training or board certification in neuropsychology who practices or adheres to the principles of neuropsychology; a specialty within the field of psychology focusing primarily on neurobehavioral functioning. |