Provider Demographics
NPI:1366506156
Name:MYERS, JAMES FRANK (PHD)
Entity Type:Individual
Prefix:DR
First Name:JAMES
Middle Name:FRANK
Last Name:MYERS
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 1:1317 DAKOTA AVE
Mailing Address - Street 2:
Mailing Address - City:LIBBY
Mailing Address - State:MT
Mailing Address - Zip Code:59923-2545
Mailing Address - Country:US
Mailing Address - Phone:406-293-6492
Mailing Address - Fax:406-293-6492
Practice Address - Street 1:1317 DAKOTA AVE
Practice Address - Street 2:
Practice Address - City:LIBBY
Practice Address - State:MT
Practice Address - Zip Code:59923-2545
Practice Address - Country:US
Practice Address - Phone:406-293-6492
Practice Address - Fax:406-293-6492
Is Sole Proprietor?:Yes
Enumeration Date:2006-12-19
Last Update Date:2007-07-08
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
MT130101YP2500X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes101YP2500XBehavioral Health & Social Service ProvidersCounselorProfessional