Provider Demographics
NPI:1154482800
Name:PAUL, HOWARD A (PHD)
Entity Type:Individual
Prefix:DR
First Name:HOWARD
Middle Name:A
Last Name:PAUL
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 1:1 WEDGEWOOD DR
Mailing Address - Street 2:
Mailing Address - City:NORTH BRUNSWICK
Mailing Address - State:NJ
Mailing Address - Zip Code:08902-1328
Mailing Address - Country:US
Mailing Address - Phone:732-846-7680
Mailing Address - Fax:732-821-2747
Practice Address - Street 1:151 PRIMROSE LN
Practice Address - Street 2:
Practice Address - City:VALLEJO
Practice Address - State:CA
Practice Address - Zip Code:94591-6841
Practice Address - Country:US
Practice Address - Phone:732-261-6434
Practice Address - Fax:
Is Sole Proprietor?:Yes
Enumeration Date:2006-12-13
Last Update Date:2023-08-14
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
CAPSY31307103TC0700X
NJ35S100103700103TC0700X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes103TC0700XBehavioral Health & Social Service ProvidersPsychologistClinical
Provider Identifiers
StateIdentifier IDID TypeIssuer
NJR31323Medicare UPIN
NJ445730Medicare ID - Type UnspecifiedPROVIDER NUMBER