Individual
DR. PAUL JOSEPH DUPONT
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
PHD
Contact information
Practice address
5225 N IRONWOOD RD, STE 102 STRESS MANAGEMENT & MHC, GLENDALE, WI 53217
(414) 962-9156
(414) 962-4356
Mailing address
5225 N IRONWOOD RD, STE 102, GLENDALE, WI 53217
(414) 962-9156
(414) 962-4356
Taxonomy
Speciality
Code
Description
License number
State
103T00000X
Psychologist
Primary
1840057
WI
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
39109700
—
WI
Enumeration date
08/31/2006
Last updated
07/08/2007
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