Individual
PAUL JOANNIDES
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
PSY.D.
Contact information
Practice address
616 N BAYVIEW LOOP, WALDPORT, OR 97394-9607
(541) 563-7550
Mailing address
616 N BAYVIEW LOOP, WALDPORT, OR 97394-9607
(541) 563-7550
Taxonomy
Speciality
Code
Description
License number
State
103TP0814X
Psychoanalysis Psychologist
Primary
RP35
CA
Other
Enumeration date
12/26/2016
Last updated
12/26/2016
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