Provider Demographics
NPI:1134272552
Name:ALLENDER, JAMES ROBERT (PHD)
Entity type:Individual
Prefix:
First Name:JAMES
Middle Name:ROBERT
Last Name:ALLENDER
Suffix:
Gender:M
Credentials:PHD
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:2802 N ALVERNON WAY
Mailing Address - Street 2:SUITE 100
Mailing Address - City:TUCSON
Mailing Address - State:AZ
Mailing Address - Zip Code:85712-1500
Mailing Address - Country:US
Mailing Address - Phone:520-881-3810
Mailing Address - Fax:520-795-2069
Practice Address - Street 1:2802 N ALVERNON WAY
Practice Address - Street 2:SUITE 100
Practice Address - City:TUCSON
Practice Address - State:AZ
Practice Address - Zip Code:85712-1500
Practice Address - Country:US
Practice Address - Phone:520-881-3810
Practice Address - Fax:520-795-2069
Is Sole Proprietor?:Yes
Enumeration Date:2007-01-19
Last Update Date:2012-09-28
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
AZ1140103TC0700X, 103T00000X, 103G00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes103G00000XBehavioral Health & Social Service ProvidersClinical Neuropsychologist
No103TC0700XBehavioral Health & Social Service ProvidersPsychologistClinical
No103T00000XBehavioral Health & Social Service ProvidersPsychologist