| Doctor Name: | DR. JAMES ALLEN CORRELL |
| NPI Number: | 1073580080 |
| Entity Type Code: | Individual (1) |
| Gender: | M |
| Credentials: | ED.D., LCP |
| License Number: | 0810001723 |
| Business Practice Address: | 320a Charles Dimmock Parkway Suite 4 Colonial Heights, VA - 23834 |
| Business Phone Number: | 8045205485 |
| Business Fax Number: | 8045206329 |
| Mailing Address: | 320a Charles Dimmock Parkway, Suite 4 COLONIAL HEIGHTS |
| State: | VA |
| Postal Code: | 23834 |
| Phone Number: | 8045205485 |
| Fax Number: | 8045206329 |
| NPI Enumeration Date: | 03/08/2006 |
| NPI Last Update Date: | 05/28/2008 |
| Replacement NPI: | 0 |
| NPI Deactivation Date: | |
| NPI Reactivation Date: |
Taxonomy Information: | |
| Healthcare Provider Taxonomy: | 103TC0700X |
| License Number: | 0810001723 |
| Healthcare Provider Taxonomy: (Secondary) | Y |
| State: | VA |
| Taxonomy Type: | Behavioral Health & Social Service Providers |
| Taxonomy Classification: | Psychologist |
| Taxonomy Specialization: | Clinical |
| Taxonomy Definition: | |