MR. Paul W. Bagwell JR., PSYD

NPI #1477608453 in Las Vegas, New Mexico

Provider Information

NPI Number: 1477608453
Entity Type: Individual
Name: MR. Paul W. Bagwell JR., PSYD
Gender: Not Specified
Sole Proprietor: No
Primary Specialty: Psychologist - Clinical
Credential: PSYD
Enumeration Date: Jan 23, 2007
Last Updated: Jul 22, 2010

Practice Location

Address: 3695 HOT SPRINGS BLVD
City: Las Vegas
State: New Mexico
ZIP Code: 87701-9549
Phone: (505) 454-2100

Specialties & Taxonomy Codes

Specialty	Taxonomy Code	Primary
Psychologist - Clinical — Clinical	103TC0700X	Primary

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