Individual
PAUL DAVID CLEIN
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
MD
Contact information
Practice address
2911 BRUNSWICK RD, LAKESIDE HOSPITAL, MEMPHIS, TN 38133
(901) 377-4700
Mailing address
PO BOX 38658, GERMANTOWN, TN 38183-0658
(901) 752-0941
(901) 752-0942
Taxonomy
Speciality
Code
Description
License number
State
2084P0804X
Child & Adolescent Psychiatry Physician
Primary
MD26419
TN
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
00114902
—
MS
01
—
3013155
BLUE CROSS
—
05
—
3090130
—
TN
Enumeration date
05/23/2005
Last updated
02/14/2019
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