Provider Demographics
NPI:1366703654
Name:BOND, JAMES ROY (MA)
Entity type:Individual
Prefix:
First Name:JAMES
Middle Name:ROY
Last Name:BOND
Suffix:
Gender:M
Credentials:MA
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:310 S 10TH ST
Mailing Address - Street 2:BOX 113
Mailing Address - City:HARTSHORNE
Mailing Address - State:OK
Mailing Address - Zip Code:74547-4212
Mailing Address - Country:US
Mailing Address - Phone:918-297-3400
Mailing Address - Fax:918-297-3401
Practice Address - Street 1:310 S 10TH ST
Practice Address - Street 2:BOX 113
Practice Address - City:HARTSHORNE
Practice Address - State:OK
Practice Address - Zip Code:74547-4212
Practice Address - Country:US
Practice Address - Phone:918-297-3400
Practice Address - Fax:918-297-3401
Is Sole Proprietor?:No
Enumeration Date:2012-06-03
Last Update Date:2012-06-03
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes101Y00000XBehavioral Health & Social Service ProvidersCounselor