Provider Demographics
NPI:1447531215
Name:TOTH, PAUL LOUIS (LMSW)
Entity type:Individual
Prefix:MR
First Name:PAUL
Middle Name:LOUIS
Last Name:TOTH
Suffix:
Gender:M
Credentials:LMSW
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:9721 S 6TH ST
Mailing Address - Street 2:
Mailing Address - City:SCHOOLCRAFT
Mailing Address - State:MI
Mailing Address - Zip Code:49087-9421
Mailing Address - Country:US
Mailing Address - Phone:269-373-2713
Mailing Address - Fax:
Practice Address - Street 1:9721 S 6TH ST
Practice Address - Street 2:
Practice Address - City:SCHOOLCRAFT
Practice Address - State:MI
Practice Address - Zip Code:49087-9421
Practice Address - Country:US
Practice Address - Phone:269-373-2713
Practice Address - Fax:
Is Sole Proprietor?:Yes
Enumeration Date:2011-09-07
Last Update Date:2011-09-07
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
MI68010781081041C0700X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes1041C0700XBehavioral Health & Social Service ProvidersSocial WorkerClinical