Provider Demographics
NPI:1437324191
Name:KASCHEL, PAUL EDWARD JR (MA, DPHIL)
Entity Type:Individual
Prefix:
First Name:PAUL
Middle Name:EDWARD
Last Name:KASCHEL
Suffix:JR
Gender:M
Credentials:MA, DPHIL
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:954 BUSINESS PARK DR STE 5
Mailing Address - Street 2:
Mailing Address - City:TRAVERSE CITY
Mailing Address - State:MI
Mailing Address - Zip Code:49686-8763
Mailing Address - Country:US
Mailing Address - Phone:231-946-4440
Mailing Address - Fax:231-221-0117
Practice Address - Street 1:954 BUSINESS PARK DR STE 5
Practice Address - Street 2:
Practice Address - City:TRAVERSE CITY
Practice Address - State:MI
Practice Address - Zip Code:49686-8763
Practice Address - Country:US
Practice Address - Phone:231-946-4440
Practice Address - Fax:231-221-0117
Is Sole Proprietor?:No
Enumeration Date:2008-04-24
Last Update Date:2022-07-21
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
MI6301006855103TC1900X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes103TC1900XBehavioral Health & Social Service ProvidersPsychologistCounseling
Provider Identifiers
StateIdentifier IDID TypeIssuer
MIP108948900OtherBCBS PIN