James L Tichenor PHD

NPI 1619190196 - Psychologist - 103TC0700X

NPI Details
NPI 1619190196
Gender Male
Enumeration Date 04/11/2007
Last Updated 07/08/2007
Entity Type Individual
Active Over 9 years ago
Practice Location
902 E LAHARPE ST
SUITE 106
KIRKSVILLE MO, 63501-4520, US
Phone (660) 349-0378
Fax (660) 665-5086
Business Location
2514 AUGUSTA
KIRKSVILLE MO, 63501-2395, US
Phone (660) 665-5086
Fax (660) 665-5086
Toxanomy
Taxonomy Code 103TC0700X
License State Missouri
License Number 01205
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According to our database, Dr. James L Tichenor PHD NPI is 1619190196, taxonomy code is 103TC0700X and license number is 01205, license state is located at Missouri. James L Tichenor PHD physically located at 902 E Laharpe St, Kirksville MO, 63501-4520. NPI Number James L Tichenor PHD has the Individual type.

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1619190196 NPI number is provided on an as is basis without warranty of any kind. 1619190196 is maintained by the National Plan & Provider Enumeration System. The contents of James L Tichenor PHD are for informational purposes only.