Individual
DR. PAUL M MIDDEN
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
PH.D.
Contact information
Practice address
1100 BELLEVUE AVE, SAINT LOUIS, MO 63117-1826
(314) 647-0070
(314) 647-3688
Mailing address
1100 BELLEVUE AVE, SAINT LOUIS, MO 63117-1826
(314) 647-0070
(314) 647-3688
Taxonomy
Speciality
Code
Description
License number
State
103TC0700X
Clinical Psychologist
Primary
P000769
MO
Other
Enumeration date
05/04/2007
Last updated
07/08/2007
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