National Provider Identifier Database

PAUL W BAGWELL JR, PSYD – NPI #1477608453
Clinical

A psychologist who provides continuing and comprehensive mental and behavioral health care for individuals and families; consultation to agencies and communities; training, education and supervision; and research-based practice. It is a specialty in breadth — one that is broadly inclusive of severe psychopathology — and marked by comprehensiveness and integration of knowledge and skill from a broad array of disciplines within and outside of psychology proper. The scope of clinical psychology encompasses all ages, multiple diversities and varied systems.


Contact Information

PAUL W BAGWELL JR, PSYD
3695 HOT SPRINGS BLVD
LAS VEGAS, NM87701-9549
Phone: 505-454-2100
Fax: 505-454-2130
Website:
Specialty Taxonomy Code
* Clinical 103TC0700X

* Indicates primary specialty

NPI Profile & details for PAUL W BAGWELL JR

NPI Number 1477608453
Credentials PSYD (Doctor of Psychology)
Entity Individual
Enumeration date 01/23/2007
Last updated 07/22/2010 - About 16 years ago
Sole proprietor1 No
Identifiers
  • NM License #: 0854
Hospital affiliation n/a

1 A sole proprietor/sole proprietorship is an individual, and as such, is eligible for a single NPI number. The sole proprietor must apply for the NPI number using his or her own Social Security Number (SSN), not an Employer Identification Number (EIN) even if he/she has an EIN.

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