Provider Demographics
NPI:1003294174
Name:JAMES, PAUL
Entity Type:Individual
Prefix:
First Name:PAUL
Middle Name:
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 1:43 CALTON RD
Mailing Address - Street 2:APT. 4G
Mailing Address - City:NEW ROCHELLE
Mailing Address - State:NY
Mailing Address - Zip Code:10804-4039
Mailing Address - Country:US
Mailing Address - Phone:914-265-0384
Mailing Address - Fax:
Practice Address - Street 1:43 CALTON RD
Practice Address - Street 2:APT. 4G
Practice Address - City:NEW ROCHELLE
Practice Address - State:NY
Practice Address - Zip Code:10804-4039
Practice Address - Country:US
Practice Address - Phone:914-265-0384
Practice Address - Fax:
Is Sole Proprietor?:Yes
Enumeration Date:2015-05-11
Last Update Date:2015-05-11
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
NY074855-11041C0700X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes1041C0700XBehavioral Health & Social Service ProvidersSocial WorkerClinical