Provider Demographics
NPI:1710032750
Name:CALDWELL, JAMES (MA)
Entity Type:Individual
Prefix:MR
First Name:JAMES
Middle Name:
Last Name:CALDWELL
Suffix:
Gender:M
Credentials:MA
Other - Prefix:
Other - First Name:JIM
Other - Middle Name:
Other - Last Name:CALDWELL
Other - Suffix:
Other - Last Name Type:Professional Name
Other - Credentials:LMFT
Mailing Address - Street 1:1090 BOILING SPRINGS RD
Mailing Address - Street 2:
Mailing Address - City:SPARTANBURG
Mailing Address - State:SC
Mailing Address - Zip Code:29303-2247
Mailing Address - Country:US
Mailing Address - Phone:864-384-8264
Mailing Address - Fax:
Practice Address - Street 1:1090 BOILING SPRINGS RD
Practice Address - Street 2:
Practice Address - City:SPARTANBURG
Practice Address - State:SC
Practice Address - Zip Code:29303-2247
Practice Address - Country:US
Practice Address - Phone:864-384-8264
Practice Address - Fax:
Is Sole Proprietor?:Yes
Enumeration Date:2007-01-23
Last Update Date:2014-04-08
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
MA1322106H00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes106H00000XBehavioral Health & Social Service ProvidersMarriage & Family Therapist