Davidson, James Ryan

Davidson, James Ryan is an individual health care provider with primary practice located at 2202 Executive Dr Ste C, Hampton VA 23666-6604. He recently has only one registered license in Behavioral Health & Social Service Providers / Mental Health, which is considered as his primary health care specialty. Davidson, James Ryan can be contacted via phone (757) 827-7707.

Contact Information

Primary practice address
2202 Executive Dr Ste C Hampton VA 23666-6604
Fax:
Website:

Health care specialties

SpecialtyCodeLicense #State
Behavioral Health & Social Service Providers / Mental Health 101YM0800X 6565 North Carolina

Profile Details

NPI number 1255535514
LBN Legal business name Davidson, James Ryan
Credentials Licensed Professional Counselor (LPC)
Entity Individual
Sole proprietor 1 No
Enumeration date Jun 12th, 2007
Last updated Jun 30th, 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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Identifiers

StateTypeNumberIssuer
All States NPI 1255535514 NPPES
Virginia Other 5782627 AETNA
Virginia Other 305099 AETNA
Virginia Other O83259M AETNA

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