| Doctor Name: | DANIELLE PAUL |
| NPI Number: | 1053797639 |
| Entity Type Code: | Individual (1) |
| Gender: | F |
| Credentials: | PSYD |
| License Number: | 1207 |
| Business Practice Address: | 122 Hillsdale Dr Pineville, LA - 713606856 |
| Business Phone Number: | 9542106070 |
| Business Fax Number: | 8889002325 |
| Mailing Address: | 4699 N Federal Hwy, Suite 102 F POMPANO BEACH |
| State: | FL |
| Postal Code: | 330646510 |
| Phone Number: | 9542106070 |
| Fax Number: | 8889002325 |
| NPI Enumeration Date: | 08/05/2015 |
| NPI Last Update Date: | 08/31/2015 |
| Replacement NPI: | 0 |
| NPI Deactivation Date: | |
| NPI Reactivation Date: |
Taxonomy Information: | |
| Healthcare Provider Taxonomy: | 103TC0700X |
| License Number: | 1207 |
| Healthcare Provider Taxonomy: (Secondary) | Y |
| State: | LA |
| Taxonomy Type: | Behavioral Health & Social Service Providers |
| Taxonomy Classification: | Psychologist |
| Taxonomy Specialization: | Clinical |
| Taxonomy Definition: | |