Individual
DR. PAUL MICHAEL SHAWLER
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
PH.D.
Contact information
Practice address
3412 S ILLINOIS AVE, CARBONDALE, IL 62903-8362
(618) 539-2155
(618) 457-8844
Mailing address
1030 N SPRINGER ST, CARBONDALE, IL 62901-1290
(405) 227-5437
Taxonomy
Speciality
Code
Description
License number
State
103TA0400X
Addiction (Substance Use Disorder) Psychologist
071.010669
IL
103TB0200X
Cognitive & Behavioral Psychologist
071.010669
IL
103TC0700X
Clinical Psychologist
071.010669
IL
103TC0700X
Clinical Psychologist
1311
OK
103TC2200X
Clinical Child & Adolescent Psychologist
Primary
071.010669
IL
103TC2200X
Clinical Child & Adolescent Psychologist
1311
OK
103TF0000X
Family Psychologist
071.010669
IL
103TH0004X
Health Psychologist
071.010669
IL
103TH0100X
Health Service Psychologist
1311
OK
103TM1800X
Intellectual & Developmental Disabilities Psychologist
071.010669
IL
103TM1800X
Intellectual & Developmental Disabilities Psychologist
1311
OK
103TP2701X
Group Psychotherapy Psychologist
071.010669
IL
103TP2701X
Group Psychotherapy Psychologist
—
—
Other
Enumeration date
06/07/2018
Last updated
01/05/2022
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