Individual
DR. JAMES S ANTHONY
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
PHD, LP
Contact information
Practice address
4444 CENTERVILLE ROAD, #235, WHITE BEAR LAKE, MN 55127-3712
(651) 289-3111
(651) 426-6766
Mailing address
4444 CENTERVILLE ROAD, #235, WHITE BEAR LAKE, MN 55127-3712
(651) 289-3111
(651) 289-3113
Taxonomy
Speciality
Code
Description
License number
State
103T00000X
Psychologist
Primary
LP1905
MN
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
103077
U CARE
MN
05
—
202550700
—
MN
01
—
21390CE-47774AN
BC/BS
MN
01
—
61-13267
UBH
MN
Enumeration date
09/22/2006
Last updated
07/21/2022
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