Individual
PAUL WILLIAM DELMAR
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
PHD
Contact information
Practice address
4100 LAKE DR SE, SUITE 305, GRAND RAPIDS, MI 49546
(616) 285-1377
(616) 285-1006
Mailing address
61 COMMERCE AVE SW, GRAND RAPIDS, MI 49503-4124
(616) 940-0660
(616) 940-1965
Taxonomy
Speciality
Code
Description
License number
State
103TC0700X
Clinical Psychologist
Primary
6301006455
MI
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
134899901
US DEPT OF LABOR
—
01
—
680D116500
BLUE CROSS BLUE SHIELD
MI
Enumeration date
07/19/2006
Last updated
11/19/2008
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