Individual
PAUL J SUNDELL
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
PHD
Contact information
Practice address
1730 1ST AVE NE, CEDAR RAPIDS, IA 52402-5433
(319) 365-3993
(319) 364-0116
Mailing address
PO BOX 1408, CEDAR RAPIDS, IA 52406-1408
(319) 365-3993
(319) 364-0116
Taxonomy
Speciality
Code
Description
License number
State
103TC1900X
Counseling Psychologist
Primary
00905
IA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
39226
WELLMARK BC/BS
IA
Enumeration date
03/03/2006
Last updated
02/03/2010
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