Individual
DR. PAUL A DAVIS
Active
Individual
DR. PAUL A DAVIS
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
PHD, LP
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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