Paul W Macellari Phd Pc

NPI 1285013474 - Clinical Neuropsychologist - 103G00000X

NPI Details
NPI 1285013474
Enumeration Date 05/21/2015
Last Updated 05/21/2015
Entity Type Healthcare Provider
Active Over 1 year ago
Authorized Information
Name PAUL WARREN PAUL
Position PRESIDENT
Phone (574) 254-9200
Fax (574) 254-9202
Practice Location
135 RED COACH DR
MISHAWAKA IN, 46545-3145, US
Phone (574) 254-9200
Fax (574) 254-9202
Business Location
139 RED COACH DRIVE
MISHAWAKA IN, 46545-3145, US
Phone (574) 254-9200
Fax (574) 254-9202
Toxanomy
Taxonomy Code 103G00000X
License State Indiana
License Number 20040273
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According to our database, Paul W Macellari Phd Pc NPI is 1285013474, taxonomy code is 103G00000X and license number is 20040273, license state is located at Indiana. Paul W Macellari Phd Pc physically located at 135 Red Coach Dr, Mishawaka IN, 46545-3145. NPI Number 1033115704 has the healthcare provider type.

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1285013474 NPI number is provided on an as is basis without warranty of any kind. 1285013474 is maintained by the National Plan & Provider Enumeration System. The contents of Paul W Macellari Phd Pc are for informational purposes only.