Provider Demographics
NPI:1588729073
Name:DIKUN, PAUL M (EDD, PHD)
Entity type:Individual
Prefix:DR
First Name:PAUL
Middle Name:M
Last Name:DIKUN
Suffix:
Gender:M
Credentials:EDD, PHD
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:2824 HULMEVILLE RD
Mailing Address - Street 2:
Mailing Address - City:BENSALEM
Mailing Address - State:PA
Mailing Address - Zip Code:19020-4355
Mailing Address - Country:US
Mailing Address - Phone:215-638-4520
Mailing Address - Fax:215-827-5147
Practice Address - Street 1:2824 HULMEVILLE RD
Practice Address - Street 2:
Practice Address - City:BENSALEM
Practice Address - State:PA
Practice Address - Zip Code:19020-4355
Practice Address - Country:US
Practice Address - Phone:215-638-4520
Practice Address - Fax:215-827-5147
Is Sole Proprietor?:Yes
Enumeration Date:2006-12-26
Last Update Date:2007-07-09
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
PAPS006499L103T00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes103T00000XBehavioral Health & Social Service ProvidersPsychologist
Provider Identifiers
StateIdentifier IDID TypeIssuer
PA0341436000Medicare UPIN