Individual
DR. PAUL WILLIAM ROUSSEAU
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
PH.D.
Contact information
Practice address
5001 N PIEDRAS ST, VA HEALTH CARE SYSTEM, EL PASO, TX 79930-4210
(915) 564-6159
Mailing address
2750 QUITMAN ST, CHAPARRAL, NM 88081-7363
(505) 824-0546
Taxonomy
Speciality
Code
Description
License number
State
103TC0700X
Clinical Psychologist
Primary
—
IL
Other
Enumeration date
07/19/2006
Last updated
07/08/2007
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