| Doctor Name: | MR. TODD PAAVOLA |
| NPI Number: | 1144624511 |
| Entity Type Code: | Individual (1) |
| Gender: | M |
| Credentials: | |
| License Number: | 3001013649 |
| Business Practice Address: | 7457 Pine Ridge Ct Minocqua, WI - 545488408 |
| Business Phone Number: | 7155056900 |
| Business Fax Number: | |
| Mailing Address: | 7457 Pine Ridge Ct, MINOCQUA |
| State: | WI |
| Postal Code: | 545488408 |
| Phone Number: | 7155056900 |
| Fax Number: | |
| NPI Enumeration Date: | 10/14/2014 |
| NPI Last Update Date: | 10/14/2014 |
| Replacement NPI: | 0 |
| NPI Deactivation Date: | |
| NPI Reactivation Date: |
Taxonomy Information: | |
| Healthcare Provider Taxonomy: | 103TS0200X |
| License Number: | 3001013649 |
| Healthcare Provider Taxonomy: (Secondary) | Y |
| State: | WI |
| Taxonomy Type: | Behavioral Health & Social Service Providers |
| Taxonomy Classification: | Psychologist |
| Taxonomy Specialization: | School |
| Taxonomy Definition: | |