Provider records sourced from NPPES (CMS National Plan & Provider Enumeration System). Data current as of August 10, 2026.
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Paul Jeffrey Mack, CHTP, EDD, MS, BA

Individual provider Specialist · NPI 1780740563

Paul Jeffrey Mack, CHTP, EDD, MS, BA is a Specialist in Saint Louis, Missouri. Practices as a sole proprietor. Licensed in Colorado.

Licensed in
CO
In the registry since
2006
What do these letters mean?
EDD — Doctor of Education
A doctorate in education.
MS — Master of Science
A graduate science degree.
BA — Bachelor of Arts
An undergraduate arts degree.

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Practice location Address checks out

1015 McCausland Ave
Saint Louis, MO 63117-1924
Phone: (314) 781-5050
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Pin is approximate — placed at the ZIP-code centre, not the exact door.

Specialties & licences

Specialist (primary) Taxonomy 174400000X · Licence 2504 (CO)

Record details

NPI number1780740563
Entity typeIndividual (Type 1)
GenderMale
Credentials CHTP , EDD , MS , BA
Sole proprietorYes
NPI enumeratedDecember 28, 2006
Last updated in NPPESJuly 8, 2007

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