Individual
DR. LOUIS A PAGANO JR.
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
PH.D.
Contact information
Practice address
559 VINCENT ST, ATTN: 21 MDS/SGOW-MENTAL HEALTH, PETERSON AFB, CO 80914-1540
(719) 526-8873
Mailing address
559 VINCENT ST, ATTN: 21 MDS/SGOW-MENTAL HEALTH, PETERSON AFB, CO 80914-1540
(719) 526-8873
Taxonomy
Speciality
Code
Description
License number
State
103TC1900X
Counseling Psychologist
Primary
590
WY
390200000X
Student in an Organized Health Care Education/Training Program
—
—
Other
Enumeration date
08/30/2010
Last updated
03/17/2018
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