Provider Demographics
NPI:1447394119
Name:SCHUR, JAMES MICHAEL (EDD)
Entity Type:Individual
Prefix:
First Name:JAMES
Middle Name:MICHAEL
Last Name:SCHUR
Suffix:
Gender:M
Credentials:EDD
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:1325 18TH STREET NW
Mailing Address - Street 2:#202
Mailing Address - City:WASHINGTON
Mailing Address - State:DC
Mailing Address - Zip Code:20036-6501
Mailing Address - Country:US
Mailing Address - Phone:202-296-6666
Mailing Address - Fax:
Practice Address - Street 1:1325 18TH STREET NW
Practice Address - Street 2:#202
Practice Address - City:WASHINGTON
Practice Address - State:DC
Practice Address - Zip Code:20036-6501
Practice Address - Country:US
Practice Address - Phone:202-296-6666
Practice Address - Fax:
Is Sole Proprietor?:Yes
Enumeration Date:2007-02-16
Last Update Date:2007-07-08
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
DC942103TC0700X
MD1413103TC0700X
NY5764103TC0700X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes103TC0700XBehavioral Health & Social Service ProvidersPsychologistClinical