Individual
MR. PAUL J SPEZIALE
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
M.A.
Contact information
Practice address
2401 WOOTEN BLVD SW, SUITE K, WILSON, NC 27893-4464
(252) 230-0293
(252) 291-2890
Mailing address
1110 LAKESIDE DR NW, WILSON, NC 27896-2016
(252) 230-0293
(252) 291-2890
Taxonomy
Speciality
Code
Description
License number
State
103T00000X
Psychologist
Primary
790
NC
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
6107083
—
NC
Enumeration date
02/07/2006
Last updated
08/09/2007
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