Provider Demographics
NPI:1326262577
Name:POINTER, JAMES LEROY (PHD)
Entity Type:Individual
Prefix:DR
First Name:JAMES
Middle Name:LEROY
Last Name:POINTER
Suffix:
Gender:M
Credentials:PHD
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:2140 UPPER WETUMPKA RD
Mailing Address - Street 2:
Mailing Address - City:MONTGOMERY
Mailing Address - State:AL
Mailing Address - Zip Code:36107-1342
Mailing Address - Country:US
Mailing Address - Phone:334-262-0363
Mailing Address - Fax:334-834-4562
Practice Address - Street 1:2140 UPPER WETUMPKA RD
Practice Address - Street 2:
Practice Address - City:MONTGOMERY
Practice Address - State:AL
Practice Address - Zip Code:36107-1342
Practice Address - Country:US
Practice Address - Phone:334-262-0363
Practice Address - Fax:334-834-4562
Is Sole Proprietor?:No
Enumeration Date:2007-04-12
Last Update Date:2010-11-05
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
AL705103T00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes103T00000XBehavioral Health & Social Service ProvidersPsychologist
Provider Identifiers
StateIdentifier IDID TypeIssuer
AL000075108POIMedicare ID - Type Unspecified
ALR94208Medicare UPIN