Individual
JAMES BRAITH
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
PHD, LCP
Contact information
Practice address
8254 ATLEE RD, MECHANICSVILLE, VA 23116-1844
(804) 342-4300
(804) 342-4316
Mailing address
8254 ATLEE RD, MECHANICSVILLE, VA 23116-1844
(804) 342-4300
(804) 342-4316
Taxonomy
Speciality
Code
Description
License number
State
103G00000X
Clinical Neuropsychologist
Primary
0810001961
VI
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
110021
ANTHEM
VA
01
—
7613246
AETNA
VA
Enumeration date
06/05/2006
Last updated
07/10/2007
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