Doctor Name: | MR. PAUL DAVID FOLLANSBEE |
NPI Number: | 1689716110 |
Entity Type Code: | Individual (1) |
Gender: | M |
Credentials: | M DIV LCSW |
License Number: | 44SC00857600 |
Business Practice Address: | 295 Pierson Avenue 2nd Floor Edison, NJ - 088373118 |
Business Phone Number: | 7324948558 |
Business Fax Number: | 7324948969 |
Mailing Address: | 203 Summit Street, HIGHTSTOWN |
State: | NJ |
Postal Code: | 085204222 |
Phone Number: | 6094434028 |
Fax Number: | 6094434028 |
NPI Enumeration Date: | 02/12/2007 |
NPI Last Update Date: | 07/08/2007 |
Replacement NPI: | 0 |
NPI Deactivation Date: | |
NPI Reactivation Date: |
Taxonomy Information: | |
Healthcare Provider Taxonomy: | 101Y00000X |
License Number: | 44SC00857600 |
Healthcare Provider Taxonomy: (Secondary) | X |
State: | NJ |
Taxonomy Type: | Behavioral Health & Social Service Providers |
Taxonomy Classification: | Counselor |
Taxonomy Specialization: | |
Taxonomy Definition: | A provider who is trained and educated in the performance of behavior health services through interpersonal communications and analysis. Training and education at the specialty level usually requires a master |