Provider Demographics
NPI:1568497212
Name:NEMETH, PAUL
Entity Type:Individual
Prefix:DR
First Name:PAUL
Middle Name:
Last Name:NEMETH
Suffix:
Gender:M
Credentials:
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:27412 ENTERPRISE CIR W
Mailing Address - Street 2:STE. 100
Mailing Address - City:TEMECULA
Mailing Address - State:CA
Mailing Address - Zip Code:92590-4803
Mailing Address - Country:US
Mailing Address - Phone:951-694-6367
Mailing Address - Fax:951-694-1428
Practice Address - Street 1:27412 ENTERPRISE CIR W
Practice Address - Street 2:STE. 100
Practice Address - City:TEMECULA
Practice Address - State:CA
Practice Address - Zip Code:92590-4803
Practice Address - Country:US
Practice Address - Phone:951-694-6367
Practice Address - Fax:951-694-1428
Is Sole Proprietor?:Yes
Enumeration Date:2006-07-11
Last Update Date:2007-07-08
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
CAPSY8866103T00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes103T00000XBehavioral Health & Social Service ProvidersPsychologist
Provider Identifiers
StateIdentifier IDID TypeIssuer
CAPSY8866OtherLICENSE