Provider Demographics
NPI:1952876419
Name:JAMES E. BYASSEE PHD PLLC
Entity Type:Organization
Organization Name:JAMES E. BYASSEE PHD PLLC
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:OWNER/OPERATOR
Authorized Official - Prefix:
Authorized Official - First Name:JAMES
Authorized Official - Middle Name:E
Authorized Official - Last Name:BYASSEE
Authorized Official - Suffix:
Authorized Official - Credentials:PHD
Authorized Official - Phone:919-971-5725
Mailing Address - Street 1:3325 DURHAM CHAPEL HILL BLVD STE 220
Mailing Address - Street 2:
Mailing Address - City:DURHAM
Mailing Address - State:NC
Mailing Address - Zip Code:27707-2646
Mailing Address - Country:US
Mailing Address - Phone:191-997-1572
Mailing Address - Fax:
Practice Address - Street 1:3325 DURHAM CHAPEL HILL BLVD STE 220
Practice Address - Street 2:
Practice Address - City:DURHAM
Practice Address - State:NC
Practice Address - Zip Code:27707-2646
Practice Address - Country:US
Practice Address - Phone:191-997-1572
Practice Address - Fax:
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2018-10-10
Last Update Date:2018-10-10
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes251S00000XAgenciesCommunity/Behavioral Health