Provider Demographics
NPI:1194518670
Name:VOELL, PAUL
Entity type:Individual
Prefix:
First Name:PAUL
Middle Name:
Last Name:VOELL
Suffix:
Gender:M
Credentials:
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:79 TURNER DR
Mailing Address - Street 2:
Mailing Address - City:LOS LUNAS
Mailing Address - State:NM
Mailing Address - Zip Code:87031-8055
Mailing Address - Country:US
Mailing Address - Phone:843-714-0710
Mailing Address - Fax:
Practice Address - Street 1:2600 PALMILLA RD NW
Practice Address - Street 2:
Practice Address - City:LOS LUNAS
Practice Address - State:NM
Practice Address - Zip Code:87031-4864
Practice Address - Country:US
Practice Address - Phone:505-391-1137
Practice Address - Fax:
Is Sole Proprietor?:Yes
Enumeration Date:2025-05-27
Last Update Date:2025-05-27
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes106S00000XBehavioral Health & Social Service ProvidersBehavior Technician