James W Quillin, Phd, Appc

LBN: James W Quillin, Phd, Appc
James W Quillin, Phd, Appc is an health care organization with primary practice located at 1016 Calais Cir , Alexandria LA 71303-2307. The organization recently has 4 registered licenses in different health care specialties including Behavioral Health & Social Service Providers / Clinical Neuropsychologist, Behavioral Health & Social Service Providers / Clinical, Behavioral Health & Social Service Providers / Clinical Child & Adolescent, Behavioral Health & Social Service Providers / Prescribing (Medical). Behavioral Health & Social Service Providers / Clinical is the primary health care specialty. James W Quillin, Phd, Appc can be contacted via phone (318) 442-7355, or through Quillin, James Wesley via phone (318) 442-7355.

Contact Information

Primary practice address
1016 Calais Cir Alexandria LA 71303-2307
Phone: (318) 442-7355
Fax: (318) 442-4407
Website:
Map and Directions
Authorized official contact:
Name: Quillin, James Wesley PHD, MP
Phone: (318) 442-7355

Health care specialties

SpecialtyCodeLicense #State
Behavioral Health & Social Service Providers / Clinical Neuropsychologist 103G00000X 0318MP Louisiana
Behavioral Health & Social Service Providers / Clinical 103TC0700X 0318 MP Louisiana
Behavioral Health & Social Service Providers / Clinical 103TC0700X 1288 Louisiana
Behavioral Health & Social Service Providers / Clinical Child & Adolescent 103TC2200X 1288 Louisiana
Behavioral Health & Social Service Providers / Prescribing (Medical) 103TP0016X 0318MP Louisiana
Behavioral Health & Social Service Providers / Clinical 1041C0700X 2498 Louisiana

Profile Details

NPI number 1740568872
LBN Legal business name James W Quillin, Phd, Appc
DBA Doing business as
Authorized official Quillin, James Wesley PHD, MP
Entity Organization
Organization subpart 1 No
Enumeration date Jul 22nd, 2011
Last updated Nov 26th, 2014 - about 10 years ago

1 Some organizations, which are providing health care services, may consist of units or departments that provide different types of health care services or have several separate physical locations, where health care service is provided. These units, departments or physical locations are not themselves legal entities. However, each of them is part of the organization, which is a legal entity. The organization may decide whether its subparts, if it has any, should have their own NPI numbers. In case a subpart conducts any HIPAA standard transactions by itself, without its parent's involvement, it must have its own NPI number.

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Identifiers

StateTypeNumberIssuer
All States NPI 1740568872 NPPES
Louisiana Other 437700719B BLUE CROSS

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