Provider Demographics
NPI:1750325262
Name:JAMES, RICHARD ELMER (ED B, PHD)
Entity Type:Individual
Prefix:DR
First Name:RICHARD
Middle Name:ELMER
Last Name:JAMES
Suffix:
Gender:M
Credentials:ED B, PHD
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
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Other - Credentials:
Mailing Address - Street 1:500 HANCOCK STREET
Mailing Address - Street 2:
Mailing Address - City:SAGINAW
Mailing Address - State:MI
Mailing Address - Zip Code:48602-4224
Mailing Address - Country:US
Mailing Address - Phone:989-797-3400
Mailing Address - Fax:989-799-0206
Practice Address - Street 1:1107 HOUND DOG TRL
Practice Address - Street 2:
Practice Address - City:SAINT HELEN
Practice Address - State:MI
Practice Address - Zip Code:48656-9538
Practice Address - Country:US
Practice Address - Phone:989-808-2979
Practice Address - Fax:989-632-3325
Is Sole Proprietor?:No
Enumeration Date:2006-06-15
Last Update Date:2021-08-10
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
MI6301012343103T00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes103T00000XBehavioral Health & Social Service ProvidersPsychologist