Childerston, James K

Childerston, James K is an sole proprietor health care provider with primary practice located at 1146 Opal Ct , Hagerstown MD 21740-5940. He recently has 4 registered licenses in different health care specialties including Behavioral Health & Social Service Providers / Clinical, Behavioral Health & Social Service Providers / Counseling, Behavioral Health & Social Service Providers / Psychologist, Behavioral Health & Social Service Providers / Clinical Child & Adolescent. Behavioral Health & Social Service Providers / Clinical is his primary health care specialty. Childerston, James K can be contacted via phone (301) 797-2110.

Contact Information

Primary practice address
1146 Opal Ct Hagerstown MD 21740-5940
Phone: (301) 797-2110
Fax: (301) 797-2379
Website:
Map and Directions

Health care specialties

SpecialtyCodeLicense #State
Behavioral Health & Social Service Providers / Clinical 103TC0700X 2307 Maryland
Behavioral Health & Social Service Providers / Counseling 103TC1900X 02307 Maryland
Behavioral Health & Social Service Providers / Psychologist 103T00000X 02307 Maryland
Behavioral Health & Social Service Providers / Clinical Child & Adolescent 103TC2200X 02307 Maryland

Profile Details

NPI number 1205833449
LBN Legal business name Childerston, James K
Credentials PH.D.
Entity Individual
Sole proprietor 1 Yes
Enumeration date Jul 1st, 2005
Last updated Nov 20th, 2008 - about 16 years ago

1 A sole proprietor/sole proprietorship is an individual, and in that capacity, is qualified for a solitary NPI number. The sole proprietor have to apply for the NPI number using his or her own particular Social Security Number (SSN), instead of Employer Identification Number (EIN) regardless of whether he/she has an EIN.

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