Doctor Name: | PAUL DOUGLAS DUKARM |
NPI Number: | 1003072406 |
Entity Type Code: | Individual (1) |
Gender: | M |
Credentials: | PH.D. |
License Number: | |
Business Practice Address: | 600 University Ave Suite 2 B Fairbanks, AK - 997093651 |
Business Phone Number: | 9076997524 |
Business Fax Number: | |
Mailing Address: | Po Box 83647, FAIRBANKS |
State: | AK |
Postal Code: | 997083647 |
Phone Number: | 9076997524 |
Fax Number: | |
NPI Enumeration Date: | 08/05/2008 |
NPI Last Update Date: | 12/06/2013 |
Replacement NPI: | 0 |
NPI Deactivation Date: | |
NPI Reactivation Date: |
Taxonomy Information: | |
Healthcare Provider Taxonomy: | 103G00000X |
License Number: | |
Healthcare Provider Taxonomy: (Secondary) | Y |
State: | |
Taxonomy Type: | Behavioral Health & Social Service Providers |
Taxonomy Classification: | Clinical Neuropsychologist |
Taxonomy Specialization: | |
Taxonomy Definition: | An individual with a doctorate degree, licensure in clinical psychology and specialized training or board certification in neuropsychology who practices or adheres to the principles of neuropsychology; a specialty within the field of psychology focusing primarily on neurobehavioral functioning. |