Individual
DR. PAUL S BAGDADE
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
PH.D., L.P.
Contact information
Practice address
2945 HAZELWOOD ST STE 200, MAPLEWOOD, MN 55109-1243
(612) 440-6315
(651) 412-5338
Mailing address
2945 HAZELWOOD ST STE 200, MAPLEWOOD, MN 55109-1243
(612) 440-6315
(651) 412-5338
Taxonomy
Speciality
Code
Description
License number
State
103TC0700X
Clinical Psychologist
Primary
LP 4527
MN
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
093464000
—
MN
01
—
519T2BA
BCBS
MN
01
—
HP48607
HEALTH PARTNERS
MN
Enumeration date
08/08/2006
Last updated
05/14/2025
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