Provider Demographics
NPI:1336337013
Name:BELJAN, PAUL (PSYD, ABPDN, ABN)
Entity type:Individual
Prefix:DR
First Name:PAUL
Middle Name:
Last Name:BELJAN
Suffix:
Gender:M
Credentials:PSYD, ABPDN, ABN
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:8585 E. BELL RD.
Mailing Address - Street 2:STE. 100A
Mailing Address - City:SCOTTSDALE
Mailing Address - State:AZ
Mailing Address - Zip Code:85260
Mailing Address - Country:US
Mailing Address - Phone:602-957-7600
Mailing Address - Fax:480-289-5751
Practice Address - Street 1:8585 E. BELL RD.
Practice Address - Street 2:STE. 100A
Practice Address - City:SCOTTSDALE
Practice Address - State:AZ
Practice Address - Zip Code:85260
Practice Address - Country:US
Practice Address - Phone:602-957-7600
Practice Address - Fax:480-289-5751
Is Sole Proprietor?:Yes
Enumeration Date:2007-10-09
Last Update Date:2009-09-02
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
AZ3405103G00000X, 103T00000X, 103TC0700X, 103TC1900X, 103TC2200X, 103TF0000X
AZ3470103G00000X, 103TC2200X
AZ071.005473103G00000X, 103TC2200X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes103G00000XBehavioral Health & Social Service ProvidersClinical Neuropsychologist
No103T00000XBehavioral Health & Social Service ProvidersPsychologist
No103TC0700XBehavioral Health & Social Service ProvidersPsychologistClinical
No103TC1900XBehavioral Health & Social Service ProvidersPsychologistCounseling
No103TC2200XBehavioral Health & Social Service ProvidersPsychologistClinical Child & Adolescent
No103TF0000XBehavioral Health & Social Service ProvidersPsychologistFamily