Provider Demographics
NPI:1104485358
Name:DELEW, PAUL (LPC)
Entity type:Individual
Prefix:MR
First Name:PAUL
Middle Name:
Last Name:DELEW
Suffix:
Gender:M
Credentials:LPC
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:PO BOX 660253
Mailing Address - Street 2:
Mailing Address - City:AUSTIN
Mailing Address - State:TX
Mailing Address - Zip Code:78766-7253
Mailing Address - Country:US
Mailing Address - Phone:512-649-2270
Mailing Address - Fax:512-727-0476
Practice Address - Street 1:7701 N LAMAR BLVD STE 206
Practice Address - Street 2:
Practice Address - City:AUSTIN
Practice Address - State:TX
Practice Address - Zip Code:78752-1022
Practice Address - Country:US
Practice Address - Phone:512-649-2270
Practice Address - Fax:512-727-0476
Is Sole Proprietor?:No
Enumeration Date:2019-06-11
Last Update Date:2019-06-11
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
IL81763101YP2500X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes101YP2500XBehavioral Health & Social Service ProvidersCounselorProfessional