Doctor Name: | PAUL W. ADAMS |
NPI Number: | 1467669879 |
Entity Type Code: | Individual (1) |
Gender: | M |
Credentials: | ED.D |
License Number: | 347 |
Business Practice Address: | 90096 476th Ave Atkinson, NE - 687134435 |
Business Phone Number: | 4027752187 |
Business Fax Number: | |
Mailing Address: | 90096 476th Ave, ATKINSON |
State: | NE |
Postal Code: | 687134435 |
Phone Number: | 4027752187 |
Fax Number: | |
NPI Enumeration Date: | 05/16/2007 |
NPI Last Update Date: | 07/08/2007 |
Replacement NPI: | 0 |
NPI Deactivation Date: | |
NPI Reactivation Date: |
Taxonomy Information: | |
Healthcare Provider Taxonomy: | 103TS0200X |
License Number: | 347 |
Healthcare Provider Taxonomy: (Secondary) | Y |
State: | NE |
Taxonomy Type: | Behavioral Health & Social Service Providers |
Taxonomy Classification: | Psychologist |
Taxonomy Specialization: | School |
Taxonomy Definition: |