Provider Demographics
NPI:1629286208
Name:NAJAR, PAUL EDMUND (LMT, LMSW)
Entity Type:Individual
Prefix:
First Name:PAUL
Middle Name:EDMUND
Last Name:NAJAR
Suffix:
Gender:M
Credentials:LMT, LMSW
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:2402 PITTSFIELD BLVD
Mailing Address - Street 2:
Mailing Address - City:ANN ARBOR
Mailing Address - State:MI
Mailing Address - Zip Code:48104-5239
Mailing Address - Country:US
Mailing Address - Phone:248-245-1630
Mailing Address - Fax:
Practice Address - Street 1:1719 CROOKS RD
Practice Address - Street 2:SUITE 17
Practice Address - City:ROYAL OAK
Practice Address - State:MI
Practice Address - Zip Code:48067-1306
Practice Address - Country:US
Practice Address - Phone:248-414-6962
Practice Address - Fax:
Is Sole Proprietor?:Yes
Enumeration Date:2007-05-18
Last Update Date:2020-02-27
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
MI225700000X
MI68010913981041C0700X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes1041C0700XBehavioral Health & Social Service ProvidersSocial WorkerClinical
No225700000XRespiratory, Developmental, Rehabilitative and Restorative Service ProvidersMassage Therapist