Provider Demographics
NPI:1043810054
Name:SINGLETON, PAUL III (LCAT)
Entity type:Individual
Prefix:
First Name:PAUL
Middle Name:
Last Name:SINGLETON
Suffix:III
Gender:M
Credentials:LCAT
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:55 BELMONT AVE # 1
Mailing Address - Street 2:
Mailing Address - City:JERSEY CITY
Mailing Address - State:NJ
Mailing Address - Zip Code:07304-3030
Mailing Address - Country:US
Mailing Address - Phone:201-360-9350
Mailing Address - Fax:
Practice Address - Street 1:55 BELMONT AVE # 1
Practice Address - Street 2:
Practice Address - City:JERSEY CITY
Practice Address - State:NJ
Practice Address - Zip Code:07304-3030
Practice Address - Country:US
Practice Address - Phone:201-360-9350
Practice Address - Fax:
Is Sole Proprietor?:Yes
Enumeration Date:2020-10-28
Last Update Date:2020-10-28
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
NY001468221700000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes221700000XRespiratory, Developmental, Rehabilitative and Restorative Service ProvidersArt Therapist