Organization
SHAWLER PSYCHOLOGY, PLLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
DR. PAUL SHAWLER PHD (OWNER/CLINICAL PSYCHOLOGIST)
(618) 539-2155
Entity
Organization
Contact information
Practice address
3412 S ILLINOIS AVE, CARBONDALE, IL 62903-8362
(618) 539-2155
Mailing address
3412 S ILLINOIS AVE, CARBONDALE, IL 62903-8362
(618) 539-2155
Taxonomy
Speciality
Code
Description
License number
State
251S00000X
Community/Behavioral Health Agency
—
—
261QM0801X
Mental Health Clinic/Center (Including Community Mental Health Center)
—
—
261QM0850X
Adult Mental Health Clinic/Center
—
—
261QM0855X
Adolescent and Children Mental Health Clinic/Center
Primary
—
—
Other
Enumeration date
01/04/2022
Last updated
01/04/2022
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