Doctor Name: | DR. MATTHEW GENE JAMES |
NPI Number: | 1073880027 |
Entity Type Code: | Individual (1) |
Gender: | M |
Credentials: | PH.D. |
License Number: | 5427 |
Business Practice Address: | 1095 Highway 15 S Hutchinson, MN - 553505000 |
Business Phone Number: | 3204844610 |
Business Fax Number: | 3202344652 |
Mailing Address: | 213 N High Dr Nw, Apartment 107 HUTCHINSON |
State: | MN |
Postal Code: | 553505656 |
Phone Number: | 6144326506 |
Fax Number: | |
NPI Enumeration Date: | 11/18/2011 |
NPI Last Update Date: | 11/18/2011 |
Replacement NPI: | 0 |
NPI Deactivation Date: | |
NPI Reactivation Date: |
Taxonomy Information: | |
Healthcare Provider Taxonomy: | 103TB0200X |
License Number: | 5427 |
Healthcare Provider Taxonomy: (Secondary) | N |
State: | MN |
Taxonomy Type: | Behavioral Health & Social Service Providers |
Taxonomy Classification: | Psychologist |
Taxonomy Specialization: | Cognitive & Behavioral |
Taxonomy Definition: |