Wesley D Paul, MFT, DMIN

Individual provider Active NPI Marriage & Family Therapist · Springfield, KY

NPI 1124607189 · NPPES record last updated Apr 6, 2021

Key facts

NPI
1124607189
Entity type
Individual (NPI type 1)
Primary specialty
Marriage & Family Therapist 106H00000X
License
263830 (KY)
Practice address
511 N Walnut St
Springfield, KY 40069-1429
Phone
(859) 806-6424
NPI assigned
Apr 6, 2021
Sex
Male
Sole proprietor
Yes

Medicare participation

Medicare fee-for-service enrollment
Not listed in the public Medicare enrollment file

National Provider Directory

Medicare enrollment (NPD)
No

State licenses

LicenseStateTypeSpecialty
263830KYMDMarriage & Family Therapist

Specialties & licenses

Specialty (taxonomy)CodeLicenseStatePrimary
Marriage & Family Therapist 106H00000X 263830 KY Yes

Addresses

Primary practice location

511 N Walnut St
Springfield, KY 40069-1429

Mailing address

PO Box 88
Springfield, KY 40069-0088

Other providers in Springfield, KY

All providers in Springfield, KY · Marriage & Family Therapist in Kentucky

Sources for this page

Verify at the official NPI Registry.