Individual
DR. JAMES K CHILDERSTON
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
PH.D.
Taxonomy
Speciality
Code
Description
License number
State
103T00000X
Psychologist
02307
MD
103T00000X
Psychologist
PSY0005723
CO
103TC0700X
Clinical Psychologist
Primary
2307
MD
103TC0700X
Clinical Psychologist
Primary
PSY0005723
CO
103TC1900X
Counseling Psychologist
02307
MD
103TC1900X
Counseling Psychologist
PSY0005723
CO
103TC2200X
Clinical Child & Adolescent Psychologist
02307
MD
103TC2200X
Clinical Child & Adolescent Psychologist
PSY0005723
CO
Other
Enumeration date
07/01/2005
Last updated
05/19/2026
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