Individual
JAMES ALEXANDER DALE
Active
Individual
JAMES ALEXANDER DALE
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
PH.D.
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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