Provider Demographics
NPI:1780611012
Name:JAMES P. FLANDERS, PH.D.
Entity type:Organization
Organization Name:JAMES P. FLANDERS, PH.D.
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:CLINICAL PSYCHOLOGIST
Authorized Official - Prefix:DR
Authorized Official - First Name:JAMES
Authorized Official - Middle Name:P
Authorized Official - Last Name:FLANDERS
Authorized Official - Suffix:
Authorized Official - Credentials:PH D
Authorized Official - Phone:601-636-3113
Mailing Address - Street 1:PO BOX 820666
Mailing Address - Street 2:(800 BELMONT STREET)
Mailing Address - City:VICKSBURG
Mailing Address - State:MS
Mailing Address - Zip Code:39182-0666
Mailing Address - Country:US
Mailing Address - Phone:601-636-3113
Mailing Address - Fax:601-636-3113
Practice Address - Street 1:800 BELMONT ST
Practice Address - Street 2:
Practice Address - City:VICKSBURG
Practice Address - State:MS
Practice Address - Zip Code:39180-3828
Practice Address - Country:US
Practice Address - Phone:601-636-3113
Practice Address - Fax:601-636-3113
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2006-06-26
Last Update Date:2020-08-22
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
MS29411103TC0700X
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes103TC0700XBehavioral Health & Social Service ProvidersPsychologistClinicalGroup - Single Specialty