Provider Demographics
NPI:1316146004
Name:CAMP, JAMES H (PHD)
Entity type:Individual
Prefix:DR
First Name:JAMES
Middle Name:H
Last Name:CAMP
Suffix:
Gender:M
Credentials:PHD
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
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Other - Credentials:
Mailing Address - Street 1:4100 CAMACHO ST
Mailing Address - Street 2:
Mailing Address - City:AUSTIN
Mailing Address - State:TX
Mailing Address - Zip Code:78723-5388
Mailing Address - Country:US
Mailing Address - Phone:512-934-1816
Mailing Address - Fax:512-474-6490
Practice Address - Street 1:4100 CAMACHO ST
Practice Address - Street 2:
Practice Address - City:AUSTIN
Practice Address - State:TX
Practice Address - Zip Code:78723-5388
Practice Address - Country:US
Practice Address - Phone:512-934-1816
Practice Address - Fax:512-474-6490
Is Sole Proprietor?:No
Enumeration Date:2007-07-13
Last Update Date:2009-06-12
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
TX33043103TC0700X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes103TC0700XBehavioral Health & Social Service ProvidersPsychologistClinical