Provider Demographics
NPI:1225412158
Name:SAYLOR, JAMES EDWARD (PTAIDE,CPC,LPC,HRM)
Entity Type:Individual
Prefix:
First Name:JAMES
Middle Name:EDWARD
Last Name:SAYLOR
Suffix:
Gender:M
Credentials:PTAIDE,CPC,LPC,HRM
Other - Prefix:
Other - First Name:JAMII
Other - Middle Name:
Other - Last Name:SAYLOR
Other - Suffix:
Other - Last Name Type:Other Name
Other - Credentials:PTAIDE,CPC,LPC,HRM
Mailing Address - Street 1:8845 N MILITARY TRL
Mailing Address - Street 2:SUITE 300
Mailing Address - City:WEST PALM BEACH
Mailing Address - State:FL
Mailing Address - Zip Code:33410-6298
Mailing Address - Country:US
Mailing Address - Phone:561-223-3872
Mailing Address - Fax:561-223-3895
Practice Address - Street 1:8845 N MILITARY TRL
Practice Address - Street 2:SUITE 300
Practice Address - City:WEST PALM BEACH
Practice Address - State:FL
Practice Address - Zip Code:33410-6298
Practice Address - Country:US
Practice Address - Phone:561-223-3872
Practice Address - Fax:561-223-3895
Is Sole Proprietor?:No
Enumeration Date:2015-07-09
Last Update Date:2015-07-09
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
FL101Y00000X
101YP2500X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes101YP2500XBehavioral Health & Social Service ProvidersCounselorProfessional
No101Y00000XBehavioral Health & Social Service ProvidersCounselor
Provider Identifiers
StateIdentifier IDID TypeIssuer
FL46-1331411OtherGROUP TAX ID#