Individual
DR. JAMES EDWARD MYERS
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
PSY.D.
Contact information
Practice address
1 W OLD STATE CAPITOL PLZ, SUITE 521, SPRINGFIELD, IL 62701-1200
(217) 523-3955
(217) 523-5514
Mailing address
PO BOX 5403, SPRINGFIELD, IL 62705-5403
(217) 523-3955
(217) 523-5514
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
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