Provider Demographics
NPI:1659506814
Name:L.K.PAUL & ASSOCIATES PSYCHOLOGICAL SERVICES INC
Entity Type:Organization
Organization Name:L.K.PAUL & ASSOCIATES PSYCHOLOGICAL SERVICES INC
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:PRESIDENT
Authorized Official - Prefix:DR
Authorized Official - First Name:LYNN
Authorized Official - Middle Name:KERLIN
Authorized Official - Last Name:PAUL
Authorized Official - Suffix:
Authorized Official - Credentials:PHD
Authorized Official - Phone:310-367-9142
Mailing Address - Street 1:1214 E COLORADO BLVD STE 206
Mailing Address - Street 2:
Mailing Address - City:PASADENA
Mailing Address - State:CA
Mailing Address - Zip Code:91106-1899
Mailing Address - Country:US
Mailing Address - Phone:310-367-9142
Mailing Address - Fax:
Practice Address - Street 1:1214 E COLORADO BLVD STE 206
Practice Address - Street 2:
Practice Address - City:PASADENA
Practice Address - State:CA
Practice Address - Zip Code:91106-1899
Practice Address - Country:US
Practice Address - Phone:310-367-9142
Practice Address - Fax:
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2009-05-18
Last Update Date:2009-05-18
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
CAPSY16791103TC0700X
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes103TC0700XBehavioral Health & Social Service ProvidersPsychologistClinicalGroup - Single Specialty