Provider Demographics
NPI:1013028265
Name:DEPOMPO, PAUL T (PSYD)
Entity Type:Individual
Prefix:DR
First Name:PAUL
Middle Name:T
Last Name:DEPOMPO
Suffix:
Gender:M
Credentials:PSYD
Other - Prefix:
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Other - Credentials:
Mailing Address - Street 1:2549 EASTBLUFF DR STE B
Mailing Address - Street 2:SUITE 253
Mailing Address - City:NEWPORT BEACH
Mailing Address - State:CA
Mailing Address - Zip Code:92660-3500
Mailing Address - Country:US
Mailing Address - Phone:949-300-1952
Mailing Address - Fax:949-313-1723
Practice Address - Street 1:4060 CAMPUS DR
Practice Address - Street 2:SUITE 120
Practice Address - City:NEWPORT BEACH
Practice Address - State:CA
Practice Address - Zip Code:92660-2217
Practice Address - Country:US
Practice Address - Phone:949-300-1952
Practice Address - Fax:949-313-1723
Is Sole Proprietor?:Yes
Enumeration Date:2006-08-31
Last Update Date:2009-05-06
Deactivation Date:
Deactivation Code:
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Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes103T00000XBehavioral Health & Social Service ProvidersPsychologist