Provider Demographics
NPI:1326389453
Name:JAMES M FLETCHER PA
Entity Type:Organization
Organization Name:JAMES M FLETCHER PA
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:PRESIDENT, JUPITER PROF. DEVELOPMEN
Authorized Official - Prefix:
Authorized Official - First Name:KAREN
Authorized Official - Middle Name:
Authorized Official - Last Name:BARLOW
Authorized Official - Suffix:
Authorized Official - Credentials:
Authorized Official - Phone:561-748-2889
Mailing Address - Street 1:PO BOX 723
Mailing Address - Street 2:
Mailing Address - City:JUPITER
Mailing Address - State:FL
Mailing Address - Zip Code:33468-0723
Mailing Address - Country:US
Mailing Address - Phone:561-748-2889
Mailing Address - Fax:
Practice Address - Street 1:400 TONEY PENNA DR
Practice Address - Street 2:SUITE F
Practice Address - City:JUPITER
Practice Address - State:FL
Practice Address - Zip Code:33458-5793
Practice Address - Country:US
Practice Address - Phone:561-748-2889
Practice Address - Fax:
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2013-03-14
Last Update Date:2013-03-21
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes103T00000XBehavioral Health & Social Service ProvidersPsychologistGroup - Single Specialty