Individual
DR. PAUL CRITELLI
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
PH.D.
Contact information
Practice address
858 IROQUOIS DR SE, GRAND RAPIDS, MI 49506-3373
(616) 248-4738
(616) 248-4745
Mailing address
858 IROQUOIS DR SE, GRAND RAPIDS, MI 49506-3373
(616) 248-4738
(616) 248-4745
Taxonomy
Speciality
Code
Description
License number
State
103TC0700X
Clinical Psychologist
Primary
6301002801
MI
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
041872
VALUEOPTIONS
MI
01
—
4590519
AETNA
MI
01
—
68OC445030
BLUE CROSS BLUE SHIELD
MI
01
—
7419464
CIGNA BEHAVIORAL HEALTH
MI
Enumeration date
06/27/2006
Last updated
07/08/2007
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