Individual
DR. JAMES M MCGOVERN
Active
Individual
DR. JAMES M MCGOVERN
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
PSY.D.
Taxonomy
Speciality
Code
Description
License number
State
103G00000X
Clinical Neuropsychologist
Primary
PY4238
FL
103T00000X
Psychologist
PY4238
FL
103TB0200X
Cognitive & Behavioral Psychologist
PY4238
FL
103TC0700X
Clinical Psychologist
PY4238
FL
103TC2200X
Clinical Child & Adolescent Psychologist
PY4238
FL
103TF0200X
Forensic Psychologist
PY4238
FL
103TH0100X
Health Service Psychologist
PY4238
FL
103TM1800X
Intellectual & Developmental Disabilities Psychologist
PY4238
FL
103TR0400X
Rehabilitation Psychologist
PY4238
FL
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
680010165
RAIL ROAD MEDICARE
FL
01
—
73532
BCBS
FL
Enumeration date
09/19/2005
Last updated
07/21/2022
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