Provider Demographics
NPI:1790705325
Name:KORMAN, JAMES RANDALL (PSYD)
Entity Type:Individual
Prefix:DR
First Name:JAMES
Middle Name:RANDALL
Last Name:KORMAN
Suffix:
Gender:M
Credentials:PSYD
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:1474 RT 23 NORTH
Mailing Address - Street 2:SUITE 6
Mailing Address - City:WAYNE
Mailing Address - State:NJ
Mailing Address - Zip Code:07470-5633
Mailing Address - Country:US
Mailing Address - Phone:973-694-2022
Mailing Address - Fax:
Practice Address - Street 1:1474 RT 23 NORTH
Practice Address - Street 2:SUITE 6
Practice Address - City:WAYNE
Practice Address - State:NJ
Practice Address - Zip Code:07470-5633
Practice Address - Country:US
Practice Address - Phone:973-694-2022
Practice Address - Fax:
Is Sole Proprietor?:No
Enumeration Date:2006-07-19
Last Update Date:2008-01-10
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
NJSI 3302103TC0700X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes103TC0700XBehavioral Health & Social Service ProvidersPsychologistClinical
Provider Identifiers
StateIdentifier IDID TypeIssuer
NJ811607Medicare PIN