Provider Demographics
NPI:1467417550
Name:HUHA, JAMES G (PHD)
Entity Type:Individual
Prefix:DR
First Name:JAMES
Middle Name:G
Last Name:HUHA
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 1:659 3RD ST
Mailing Address - Street 2:P.O. BOX 502
Mailing Address - City:BEAVER
Mailing Address - State:PA
Mailing Address - Zip Code:15009-2115
Mailing Address - Country:US
Mailing Address - Phone:724-775-4556
Mailing Address - Fax:
Practice Address - Street 1:659 3RD ST
Practice Address - Street 2:
Practice Address - City:BEAVER
Practice Address - State:PA
Practice Address - Zip Code:15009-2115
Practice Address - Country:US
Practice Address - Phone:724-775-4556
Practice Address - Fax:
Is Sole Proprietor?:Not Answered
Enumeration Date:2006-04-20
Last Update Date:2007-07-08
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
PAPS003125L103G00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes103G00000XBehavioral Health & Social Service ProvidersClinical Neuropsychologist