Primary | Taxonomy Code | Taxonomy Specialty | License Number | License State |
---|---|---|---|---|
Y | 103G00000X | Clinical Psychologist | 4264 | OH |
Y | 103TC0700X | Clinical Psychologist | 4264 | OH |
N | 103TB0200X | Cognitive & Behavioral Psychologist | 4264 | OH |
N | 103G00000X | Clinical Psychologist | 4264 | OH |
N | 103TC0700X | Clinical Psychologist | 4264 | OH |
N | 103TH0100X | Health Service | 4264 | OH |
N | 103TR0400X | Rehabilitation Psychologist | 4264 | OH |
NPI | 1144315086 |
---|---|
Provider Name | James C Gilchrist |
First Address | Dayton, OH 45409-2939 |
Second Address | Dayton, OH 45409-2939 |
Gender | M |
NPI Entity type | Individual |
Is Sole Proprietor | No |
Is Organization Subpart | N/A |
Enumeration Date | 04/10/2006 |
Last Update Date | 15/11/2013 |
IDENTIFIER | TYPE / CODE | IDENTIFIER STATE |
---|---|---|
0768138 | (05) | OH |