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Contact Information

JAMES W QUILLIN, PHD, APPC
1016 CALAIS CIR
ALEXANDRIA, LA71303-2307
 Phone: 318-442-7355
 Fax: 318-442-4407
 Website:
 

Specialty

Taxonomy Code Specialty Code Provider Type

Clinical

103TC0700X 62 Psychologist, Clinical
 

Clinical

1041C0700X 80 Licensed Clinical Social Worker
 

Clinical Child & Adolescent

103TC2200X 62 Psychologist, Clinical
 

Clinical Neuropsychologist

103G00000X
 

Prescribing (Medical)

103TP0016X 62 Psychologist, Clinical
Indicates primary specialty

NPI Profile & details for JAMES W QUILLIN, PHD, APPC

NPI # 1740568872
LBN Legal business name JAMES W QUILLIN, PHD, APPC
Authorized official JAMES QUILLIN - (PRESIDENT)
Entity Organization
Organization subpart 1 No
Enumeration date 07/22/2011
Last updated 11/26/2014 - About 12 years ago
Identifiers
LA License # 0318 MP
LA License # 0318MP
LA License # 1288
LA License # 2498
LA Other 437700719B BLUE CROSS
1 Some organization health care providers are made up of components that furnish different types of health care or have separate physical locations where health care is furnished. These components and physical locations are not themselves legal entities, but are part of the organization health care provider (which is a legal entity). A covered organization provider may decide that its subparts (if it has any) should have their own NPI numbers. If a subpart conducts any HIPAA standard transactions on its own (e.g., separately from its parent), it must obtain its own NPI number.

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