Provider Demographics
NPI:1073727038
Name:PAUL, PATRICE (PHD)
Entity Type:Individual
Prefix:DR
First Name:PATRICE
Middle Name:
Last Name:PAUL
Suffix:
Gender:F
Credentials:PHD
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:500 E OGDEN AVE
Mailing Address - Street 2:KUHN COUNSELING CENTER, PC
Mailing Address - City:NAPERVILLE
Mailing Address - State:IL
Mailing Address - Zip Code:60563-3213
Mailing Address - Country:US
Mailing Address - Phone:630-232-1090
Mailing Address - Fax:
Practice Address - Street 1:500 E OGDEN AVE
Practice Address - Street 2:KUHN COUNSELING CENTER
Practice Address - City:NAPERVILLE
Practice Address - State:IL
Practice Address - Zip Code:60563-3213
Practice Address - Country:US
Practice Address - Phone:630-232-1090
Practice Address - Fax:
Is Sole Proprietor?:No
Enumeration Date:2007-05-09
Last Update Date:2007-07-08
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
IL103G00000X, 103T00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Not Answered103G00000XBehavioral Health & Social Service ProvidersClinical Neuropsychologist
Not Answered103T00000XBehavioral Health & Social Service ProvidersPsychologist