Individual
DR. PAUL C FURTAW
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
PSY.D.
Contact information
Practice address
100 CENTURY PKWY STE 350, MOUNT LAUREL, NJ 08054-1149
(856) 482-9000
(856) 482-1159
Mailing address
4 BARTRAM CT, MOORESTOWN, NJ 08057-1832
Taxonomy
Speciality
Code
Description
License number
State
101YP2500X
Professional Counselor
37PC00032200
NJ
103TC0700X
Clinical Psychologist
Primary
35SI00608700
NJ
103TC0700X
Clinical Psychologist
PS016071
PA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
0687090
—
NJ
Enumeration date
10/30/2012
Last updated
04/22/2024
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