| Doctor Name: | MR. JAMES STARRETT JAMISON |
| NPI Number: | 1659512242 |
| Entity Type Code: | Individual (1) |
| Gender: | M |
| Credentials: | M.A., NCSP |
| License Number: | 000500 |
| Business Practice Address: | 32 Autumn Ln Troutville, VA - 241756671 |
| Business Phone Number: | 5403973429 |
| Business Fax Number: | 5409776127 |
| Mailing Address: | 32 Autumn Ln, TROUTVILLE |
| State: | VA |
| Postal Code: | 241756671 |
| Phone Number: | 5403973429 |
| Fax Number: | 5409776127 |
| NPI Enumeration Date: | 03/12/2009 |
| NPI Last Update Date: | 03/12/2009 |
| Replacement NPI: | 0 |
| NPI Deactivation Date: | |
| NPI Reactivation Date: |
Taxonomy Information: | |
| Healthcare Provider Taxonomy: | 103TS0200X |
| License Number: | 000500 |
| Healthcare Provider Taxonomy: (Secondary) | N |
| State: | FL |
| Taxonomy Type: | Behavioral Health & Social Service Providers |
| Taxonomy Classification: | Psychologist |
| Taxonomy Specialization: | School |
| Taxonomy Definition: | |