Primary | Taxonomy Code | Taxonomy Specialty | License Number | License State |
---|---|---|---|---|
Y | 103G00000X | Clinical Psychologist | PSY19882 | CA |
Y | 103TC0700X | Clinical Psychologist | PSY19882 | CA |
N | 103G00000X | Clinical Psychologist | PSY19882 | CA |
N | 103TC0700X | Clinical Psychologist | PSY19882 | CA |
N | 103TR0400X | Rehabilitation Psychologist | PSY19882 | CA |
NPI | 1528194032 |
---|---|
Provider Name | Dr. James Jeffrey Muir |
First Address | Berkeley, CA 94704-2608 |
Second Address | Berkeley, CA 94704-2608 |
Gender | M |
NPI Entity type | Individual |
Is Sole Proprietor | No |
Is Organization Subpart | N/A |
Enumeration Date | 26/02/2007 |
Last Update Date | 16/07/2007 |