Individual
DR. PAUL KADIS
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
PSY.D.
Contact information
Practice address
105 W NORTH COLLEGE ST, THE HUMANIST CENTER, SUITE 8, YELLOW SPRINGS, OH 45387-1500
(937) 767-9700
Mailing address
105 W NORTH COLLEGE ST, THE HUMANIST CENTER, SUITE 8, YELLOW SPRINGS, OH 45387-1500
(937) 767-9700
Taxonomy
Speciality
Code
Description
License number
State
103T00000X
Psychologist
4091
OH
103TA0400X
Addiction (Substance Use Disorder) Psychologist
4091
OH
103TB0200X
Cognitive & Behavioral Psychologist
4091
OH
103TC0700X
Clinical Psychologist
Primary
4091
OH
103TC2200X
Clinical Child & Adolescent Psychologist
4091
OH
103TF0000X
Family Psychologist
4091
OH
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
0832442
—
OH
Enumeration date
06/20/2006
Last updated
07/01/2009
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