DR. James K Childerston, PH.D.

NPI #1205833449 in Loveland, Colorado

Provider Information

NPI Number: 1205833449
Entity Type: Individual
Name: DR. James K Childerston, PH.D.
Gender: Not Specified
Sole Proprietor: Yes
Primary Specialty: Psychologist - Clinical
Credential: PH.D.
Enumeration Date: Jul 1, 2005
Last Updated: Sep 5, 2024

Practice Location

Address: 2641 TAFT AVE STE 203
City: Loveland
State: Colorado
ZIP Code: 80538-3121
Phone: (301) 991-1018

Specialties & Taxonomy Codes

Specialty	Taxonomy Code	Primary
Psychologist - Counseling — Counseling	103TC1900X
Psychologist	103T00000X
Psychologist - Clinical Child & Adolescent — Clinical Child & Adolescent	103TC2200X
Psychologist - Clinical — Clinical	103TC0700X	Primary

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