St James, David L

St James, David L is an individual health care provider with primary practice located at 1350 Belmont Street Suite 103, Brockton MA 02301-4430. He recently has only one registered license in Behavioral Health & Social Service Providers / Psychologist, which is considered as his primary health care specialty. St James, David L can be contacted via phone (508) 580-2137.

Contact Information

Primary practice address
1350 Belmont Street Suite 103 Brockton MA 02301-4430
Phone: (508) 580-2137
Fax: (508) 559-6143
Website:
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Health care specialties

SpecialtyCodeLicense #State
Behavioral Health & Social Service Providers / Psychologist 103T00000X 7233 Massachusetts

Profile Details

NPI number 1437258258
LBN Legal business name St James, David L
Credentials PHD
Entity Individual
Sole proprietor 1 No
Enumeration date Sep 21st, 2006
Last updated Jul 8th, 2007 - about 18 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 1437258258 NPPES
Massachusetts Other W06112 BCBS
Massachusetts MEDICAID 1893173 BCBS

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