Individual
DR. PAUL A JARVIS
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
PH.D.
Contact information
Practice address
712 E EMPIRE ST, BLOOMINGTON, IL 61701-3252
(309) 829-2477
Mailing address
712 E EMPIRE ST, BLOOMINGTON, IL 61701-3252
(309) 829-2477
Taxonomy
Speciality
Code
Description
License number
State
103TC0700X
Clinical Psychologist
Primary
—
IL
Other
Enumeration date
03/04/2007
Last updated
07/08/2007
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