Provider Demographics
NPI:1124176078
Name:LAEMMLE, PAUL E (PHD)
Entity type:Individual
Prefix:DR
First Name:PAUL
Middle Name:E
Last Name:LAEMMLE
Suffix:
Gender:M
Credentials:PHD
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:745 FALMOUTH RD
Mailing Address - Street 2:
Mailing Address - City:HYANNIS
Mailing Address - State:MA
Mailing Address - Zip Code:02601-2316
Mailing Address - Country:US
Mailing Address - Phone:508-771-3130
Mailing Address - Fax:508-771-3144
Practice Address - Street 1:745 FALMOUTH RD
Practice Address - Street 2:
Practice Address - City:HYANNIS
Practice Address - State:MA
Practice Address - Zip Code:02601-2316
Practice Address - Country:US
Practice Address - Phone:508-771-3130
Practice Address - Fax:508-771-3144
Is Sole Proprietor?:Yes
Enumeration Date:2007-01-08
Last Update Date:2007-07-08
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
MA6844103T00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes103T00000XBehavioral Health & Social Service ProvidersPsychologist