Individual
JAMES ALTON REAVIS JR.
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
PSYD
Contact information
Practice address
964 FIFTH AVE, #200, SAN DIEGO, CA 92101-6102
(619) 234-7970
(619) 699-5945
Mailing address
964 FIFTH AVE, #200, SAN DIEGO, CA 92101-6102
(619) 234-7970
(619) 699-5945
Taxonomy
Speciality
Code
Description
License number
State
103T00000X
Psychologist
Primary
PSY17404
CA
Other
Enumeration date
08/31/2006
Last updated
07/08/2007
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