Provider Demographics
NPI:1619143641
Name:SPIRA, JAMES LIONEL (PHD, MPH, ABPP)
Entity Type:Individual
Prefix:DR
First Name:JAMES
Middle Name:LIONEL
Last Name:SPIRA
Suffix:
Gender:M
Credentials:PHD, MPH, ABPP
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:817 MOLA VISTA WAY
Mailing Address - Street 2:
Mailing Address - City:SOLANA BEACH
Mailing Address - State:CA
Mailing Address - Zip Code:92075-2056
Mailing Address - Country:US
Mailing Address - Phone:619-807-4953
Mailing Address - Fax:858-792-2343
Practice Address - Street 1:817 MOLA VISTA WAY
Practice Address - Street 2:
Practice Address - City:SOLANA BEACH
Practice Address - State:CA
Practice Address - Zip Code:92075-2056
Practice Address - Country:US
Practice Address - Phone:619-807-4953
Practice Address - Fax:858-792-2343
Is Sole Proprietor?:Yes
Enumeration Date:2008-04-30
Last Update Date:2008-04-30
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
CAPSY14077103TC0700X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes103TC0700XBehavioral Health & Social Service ProvidersPsychologistClinical