Provider Demographics
NPI:1609212620
Name:GIRARD, JAMES MILLARD
Entity Type:Individual
Prefix:MR
First Name:JAMES
Middle Name:MILLARD
Last Name:GIRARD
Suffix:
Gender:M
Credentials:
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:183 SHOOTFLYING HILL RD
Mailing Address - Street 2:CENTEVILLER
Mailing Address - City:CENTERVILLE
Mailing Address - State:MA
Mailing Address - Zip Code:02632-1439
Mailing Address - Country:US
Mailing Address - Phone:508-982-3529
Mailing Address - Fax:
Practice Address - Street 1:183 SHOOTFLYING HILL RD
Practice Address - Street 2:CENTEVILLER
Practice Address - City:CENTERVILLE
Practice Address - State:MA
Practice Address - Zip Code:02632-1439
Practice Address - Country:US
Practice Address - Phone:508-982-3529
Practice Address - Fax:
Is Sole Proprietor?:Yes
Enumeration Date:2013-05-16
Last Update Date:2013-05-16
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes101Y00000XBehavioral Health & Social Service ProvidersCounselor