Provider Demographics
NPI:1245254101
Name:CHRISTIAN, JAMES K (PHD)
Entity type:Individual
Prefix:DR
First Name:JAMES
Middle Name:K
Last Name:CHRISTIAN
Suffix:
Gender:M
Credentials:PHD
Other - Prefix:
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Other - Credentials:
Mailing Address - Street 1:2820 CREEKWOOD DR
Mailing Address - Street 2:
Mailing Address - City:CANTONMENT
Mailing Address - State:FL
Mailing Address - Zip Code:32533-7507
Mailing Address - Country:US
Mailing Address - Phone:850-476-5626
Mailing Address - Fax:850-471-7759
Practice Address - Street 1:7895C PENSACOLA BLVD
Practice Address - Street 2:
Practice Address - City:PENSACOLA
Practice Address - State:FL
Practice Address - Zip Code:32534-4248
Practice Address - Country:US
Practice Address - Phone:850-471-7645
Practice Address - Fax:850-471-7759
Is Sole Proprietor?:Yes
Enumeration Date:2006-07-26
Last Update Date:2007-07-08
Deactivation Date:
Deactivation Code:
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Provider Licenses
StateLicense IDTaxonomies
FL3632103TC0700X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes103TC0700XBehavioral Health & Social Service ProvidersPsychologistClinical