Provider Demographics
NPI:1275667172
Name:NADEL, PAUL (MA, MFT)
Entity Type:Individual
Prefix:MR
First Name:PAUL
Middle Name:
Last Name:NADEL
Suffix:
Gender:M
Credentials:MA, MFT
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:514 S SCHOOL ST
Mailing Address - Street 2:
Mailing Address - City:UKIAH
Mailing Address - State:CA
Mailing Address - Zip Code:95482-5438
Mailing Address - Country:US
Mailing Address - Phone:707-463-1113
Mailing Address - Fax:707-463-1113
Practice Address - Street 1:514 S SCHOOL ST
Practice Address - Street 2:
Practice Address - City:UKIAH
Practice Address - State:CA
Practice Address - Zip Code:95482-5438
Practice Address - Country:US
Practice Address - Phone:707-463-1113
Practice Address - Fax:707-463-1113
Is Sole Proprietor?:Yes
Enumeration Date:2007-03-15
Last Update Date:2007-07-08
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
CAMFC35795106H00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes106H00000XBehavioral Health & Social Service ProvidersMarriage & Family Therapist