Organization Name: | JAMES KNOWLES PH.D., P.C. |
NPI Number: | 1164611059 |
Entity Type Code: | Organizational (2) |
Authorized Official Name: | JAMES KNOWLES (CLINICAL PSYCHOLOGIST) |
Mailing Address: | 7581 Secor Rd Lambertville |
State: | MI US |
Postal Code: | 481449624 |
Phone Number: | 7343478002 |
Fax Number: | 2489919360 |
NPI Enumeration Date: | 10/17/2007 |
NPI Last Update Date: | 07/08/2010 |
Replacement NPI: | 0 |
NPI Deactivation Date: | |
NPI Reactivation Date: |
Taxonomy Information: | |
Healthcare Provider Taxonomy: | 103TC0700X |
License Number: | 6301009946 |
Healthcare Provider Taxonomy: (Secondary) | Y |
State: | MI |
Taxonomy Type: | Behavioral Health & Social Service Providers |
Taxonomy Classification: | Psychologist |
Taxonomy Specialization: | Clinical |
Taxonomy Definition: |