Provider Demographics
NPI:1962572545
Name:DUNCAN, JAMES A (PHD)
Entity type:Individual
Prefix:DR
First Name:JAMES
Middle Name:A
Last Name:DUNCAN
Suffix:
Gender:M
Credentials:PHD
Other - Prefix:
Other - First Name:
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Other - Credentials:
Mailing Address - Street 1:3560 DELAWARE ST
Mailing Address - Street 2:STE. 602
Mailing Address - City:BEAUMONT
Mailing Address - State:TX
Mailing Address - Zip Code:77706-3067
Mailing Address - Country:US
Mailing Address - Phone:409-892-1220
Mailing Address - Fax:409-898-7545
Practice Address - Street 1:3560 DELAWARE ST
Practice Address - Street 2:STE. 602
Practice Address - City:BEAUMONT
Practice Address - State:TX
Practice Address - Zip Code:77706-3067
Practice Address - Country:US
Practice Address - Phone:409-892-1220
Practice Address - Fax:409-898-7545
Is Sole Proprietor?:Yes
Enumeration Date:2006-11-09
Last Update Date:2008-07-03
Deactivation Date:
Deactivation Code:
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Provider Licenses
StateLicense IDTaxonomies
TX22014103TC0700X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes103TC0700XBehavioral Health & Social Service ProvidersPsychologistClinical
Provider Identifiers
StateIdentifier IDID TypeIssuer
TX0985384-01Medicaid
TX76-0343828OtherTAX ID
TX0985384-01Medicaid
TX76-0343828OtherTAX ID