Provider Demographics
NPI:1407950660
Name:HUFF, JAMES REGINALD (PHD)
Entity Type:Individual
Prefix:
First Name:JAMES
Middle Name:REGINALD
Last Name:HUFF
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 1:9700 SOUTH DIXIE HWY
Mailing Address - Street 2:SUITE 1020
Mailing Address - City:MIAMI
Mailing Address - State:FL
Mailing Address - Zip Code:33156-2865
Mailing Address - Country:US
Mailing Address - Phone:305-670-4832
Mailing Address - Fax:305-670-2190
Practice Address - Street 1:9700 SOUTH DIXIE HWY
Practice Address - Street 2:SUITE 1020
Practice Address - City:MIAMI
Practice Address - State:FL
Practice Address - Zip Code:33156-2865
Practice Address - Country:US
Practice Address - Phone:305-670-4832
Practice Address - Fax:305-670-2190
Is Sole Proprietor?:No
Enumeration Date:2006-09-11
Last Update Date:2007-07-08
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
FLPY3071103T00000X, 103TC0700X, 103TC2200X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Not Answered103T00000XBehavioral Health & Social Service ProvidersPsychologist
Not Answered103TC0700XBehavioral Health & Social Service ProvidersPsychologistClinical
Not Answered103TC2200XBehavioral Health & Social Service ProvidersPsychologistClinical Child & Adolescent
Provider Identifiers
StateIdentifier IDID TypeIssuer
FL75201Medicare ID - Type Unspecified