Provider Demographics
NPI:1700992112
Name:MUNROE, JAMES F (EDD)
Entity Type:Individual
Prefix:DR
First Name:JAMES
Middle Name:F
Last Name:MUNROE
Suffix:
Gender:M
Credentials:EDD
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:40 BAYBERRY HILL RD
Mailing Address - Street 2:
Mailing Address - City:TOWNSEND
Mailing Address - State:MA
Mailing Address - Zip Code:01474-1121
Mailing Address - Country:US
Mailing Address - Phone:978-597-5749
Mailing Address - Fax:
Practice Address - Street 1:40 BAYBERRY HILL RD
Practice Address - Street 2:
Practice Address - City:TOWNSEND
Practice Address - State:MA
Practice Address - Zip Code:01474-1121
Practice Address - Country:US
Practice Address - Phone:978-597-5749
Practice Address - Fax:
Is Sole Proprietor?:Yes
Enumeration Date:2006-08-21
Last Update Date:2012-07-12
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
MA7725103T00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes103T00000XBehavioral Health & Social Service ProvidersPsychologist