Individual
DR. JAMES LEWIS MYLAR
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
PHD
Taxonomy
Speciality
Code
Description
License number
State
103TC0700X
Clinical Psychologist
Primary
308
CO
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
114943124
DUNS
—
01
—
95016409
TPIN
—
05
—
P000H90R2
—
CO
Enumeration date
11/27/2006
Last updated
04/25/2013
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