Provider Demographics
NPI:1588626725
Name:GALVINHILL, PAUL ROBERT (PHD)
Entity Type:Individual
Prefix:DR
First Name:PAUL
Middle Name:ROBERT
Last Name:GALVINHILL
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 COLLEGE ST
Mailing Address - Street 2:COLLEGE OF THE HOLY CROSS COUNSELING CENTER
Mailing Address - City:WORCESTER
Mailing Address - State:MA
Mailing Address - Zip Code:01610-2322
Mailing Address - Country:US
Mailing Address - Phone:508-793-3363
Mailing Address - Fax:
Practice Address - Street 1:1 COLLEGE ST
Practice Address - Street 2:COLLEGE OF THE HOLY CROSS COUNSELING CENTER
Practice Address - City:WORCESTER
Practice Address - State:MA
Practice Address - Zip Code:01610-2322
Practice Address - Country:US
Practice Address - Phone:508-793-3363
Practice Address - Fax:
Is Sole Proprietor?:No
Enumeration Date:2006-04-04
Last Update Date:2007-07-08
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
OH5855103TC0700X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes103TC0700XBehavioral Health & Social Service ProvidersPsychologistClinical