Provider Demographics
NPI:1841327251
Name:RAYMENT, JAMES CLAYTON (EDS NCSP)
Entity type:Individual
Prefix:MR
First Name:JAMES
Middle Name:CLAYTON
Last Name:RAYMENT
Suffix:
Gender:M
Credentials:EDS NCSP
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
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Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:845 S CRISMON RD
Mailing Address - Street 2:SKYLINE HS
Mailing Address - City:MESA
Mailing Address - State:AZ
Mailing Address - Zip Code:85201
Mailing Address - Country:US
Mailing Address - Phone:480-472-9456
Mailing Address - Fax:470-472-9406
Practice Address - Street 1:845 S CRISMON RD
Practice Address - Street 2:SKYLINE HS
Practice Address - City:MESA
Practice Address - State:AZ
Practice Address - Zip Code:85201
Practice Address - Country:US
Practice Address - Phone:480-472-9456
Practice Address - Fax:470-472-9406
Is Sole Proprietor?:No
Enumeration Date:2007-02-27
Last Update Date:2007-07-08
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes103TS0200XBehavioral Health & Social Service ProvidersPsychologistSchool