Individual
DAVID B PAUL
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
PSYD
Contact information
Practice address
12493 UNIVERSITY AVE STE 100, CLIVE, IA 50325-8286
(515) 358-0060
Mailing address
PO BOX 1475, DES MOINES, IA 50305-1475
(515) 358-0060
Taxonomy
Speciality
Code
Description
License number
State
101YM0800X
Mental Health Counselor
LASAC-13200
AZ
103G00000X
Clinical Neuropsychologist
Primary
094308
IA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
117079
—
AZ
Enumeration date
08/31/2010
Last updated
11/16/2023
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