Individual
MR. PAUL OLIVER
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
MSS
Contact information
Practice address
54 FERRIS LANE, POUGHKEEPSIE, NY 12601
(845) 473-7285
Mailing address
54 FERRIS LANE, POUGHKEEPSIE, NY 12601
(845) 473-7285
Taxonomy
Speciality
Code
Description
License number
State
103T00000X
Psychologist
Primary
R0100171
NY
Other
Enumeration date
10/23/2006
Last updated
07/09/2007
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