Individual
JAMES ALEXANDER DALE
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
PH.D.
Contact information
Practice address
16269 CONNEAUT LAKE RD, SUITE 101, MEADVILLE, PA 16335-3887
(814) 336-1011
(814) 333-4428
Mailing address
462 CHESTNUT ST, MEADVILLE, PA 16335-4403
(814) 336-6308
(814) 337-6067
Taxonomy
Speciality
Code
Description
License number
State
103TH0100X
Health Service Psychologist
Primary
PS001636L
PA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
260048453
MEDICARE RAILROAD
PA
Enumeration date
07/25/2006
Last updated
11/21/2012
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