Provider Demographics
NPI:1104826635
Name:DELL, PAUL F (PHD)
Entity Type:Individual
Prefix:DR
First Name:PAUL
Middle Name:F
Last Name:DELL
Suffix:
Gender:M
Credentials:PHD
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:1709 COLLEY AVE
Mailing Address - Street 2:SUITE 312
Mailing Address - City:NORFOLK
Mailing Address - State:VA
Mailing Address - Zip Code:23517-1675
Mailing Address - Country:US
Mailing Address - Phone:757-640-0400
Mailing Address - Fax:757-640-0497
Practice Address - Street 1:1709 COLLEY AVE
Practice Address - Street 2:SUITE 312
Practice Address - City:NORFOLK
Practice Address - State:VA
Practice Address - Zip Code:23517-1675
Practice Address - Country:US
Practice Address - Phone:757-640-0400
Practice Address - Fax:757-640-0497
Is Sole Proprietor?:No
Enumeration Date:2005-07-27
Last Update Date:2008-09-23
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
VA0810001153103T00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes103T00000XBehavioral Health & Social Service ProvidersPsychologist
Provider Identifiers
StateIdentifier IDID TypeIssuer
VA092018OtherBLUECROSS/BLUESHIELD
240873OtherMAMSI/MDIPA
VA7746652Medicaid
B60383Medicare UPIN
VA680000505Medicare ID - Type Unspecified