Individual
DR. JAMES EDWARD MYERS
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
PSY.D.
Taxonomy
Speciality
Code
Description
License number
State
103TC0700X
Clinical Psychologist
Primary
071-005601
IL
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
BC/BS
8432038
IL
01
—
MAGELLAN
272012000
IL
Enumeration date
09/22/2006
Last updated
12/26/2013
Update your record
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