Provider Demographics
NPI:1316189210
Name:RESCH, JAMES AARON (PHD)
Entity type:Individual
Prefix:
First Name:JAMES
Middle Name:AARON
Last Name:RESCH
Suffix:
Gender:M
Credentials:PHD
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:643 BURGAMY PASS
Mailing Address - Street 2:
Mailing Address - City:GROVETOWN
Mailing Address - State:GA
Mailing Address - Zip Code:30813-5856
Mailing Address - Country:US
Mailing Address - Phone:979-820-3036
Mailing Address - Fax:
Practice Address - Street 1:DWIGHT D. EISENHOWER ARMY MEDICAL CENTER
Practice Address - Street 2:300 E. HOSPITAL ROAD
Practice Address - City:FORT EISENHOWER
Practice Address - State:GA
Practice Address - Zip Code:30905
Practice Address - Country:US
Practice Address - Phone:706-787-3143
Practice Address - Fax:
Is Sole Proprietor?:Yes
Enumeration Date:2009-03-24
Last Update Date:2024-10-11
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
AL1796103TC1900X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes103TC1900XBehavioral Health & Social Service ProvidersPsychologistCounseling