Individual
DR. PAUL A DAVIS
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
PHD, LP
Contact information
Practice address
49725 COUNTY 83, STAPLES, MN 56479-5280
(218) 894-1515
(218) 894-1316
Mailing address
49725 COUNTY 83, STAPLES, MN 56479-5280
(218) 894-1515
(218) 894-8767
Taxonomy
Speciality
Code
Description
License number
State
103TC0700X
Clinical Psychologist
355
ND
103TC0700X
Clinical Psychologist
Primary
LP5313
MN
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
11891
—
ND
01
—
26928
BLUE CROSS/SHIELD NO DAK
ND
05
—
445092200
—
MN
01
—
475441030848
PREFERREDONE
—
01
—
78G33DA
BLUE CROSS/SHIELD MINNESO
MN
01
—
HP35347
HEALTHPARTNERS
—
Enumeration date
07/18/2006
Last updated
02/22/2024
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