Provider Demographics
NPI:1548011869
Name:JAMES, DAVID D
Entity type:Individual
Prefix:
First Name:DAVID
Middle Name:D
Last Name:JAMES
Suffix:
Gender:M
Credentials:
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:78 S COURTLAND ST STE 3
Mailing Address - Street 2:
Mailing Address - City:EAST STROUDSBURG
Mailing Address - State:PA
Mailing Address - Zip Code:18301-2852
Mailing Address - Country:US
Mailing Address - Phone:570-856-4232
Mailing Address - Fax:
Practice Address - Street 1:78 S COURTLAND ST STE 3
Practice Address - Street 2:
Practice Address - City:EAST STROUDSBURG
Practice Address - State:PA
Practice Address - Zip Code:18301-2852
Practice Address - Country:US
Practice Address - Phone:570-856-4232
Practice Address - Fax:
Is Sole Proprietor?:Yes
Enumeration Date:2024-03-27
Last Update Date:2024-03-27
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes101YM0800XBehavioral Health & Social Service ProvidersCounselorMental HealthGroup - Single Specialty