Individual
DR. JAMES LEWIS BORN
Active
Individual
DR. JAMES LEWIS BORN
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
PSY.D.
Taxonomy
Speciality
Code
Description
License number
State
103T00000X
Psychologist
2005015536
MO
103T00000X
Psychologist
994
OK
103T00000X
Psychologist
PSY 19940
CA
103TC0700X
Clinical Psychologist
Primary
1805
OR
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
11566399
CAQH
OR
05
—
500620806
—
OR
Enumeration date
11/07/2006
Last updated
11/04/2010
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