Individual
PAUL PASULKA
Active
Individual
PAUL PASULKA
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
PH.D.
Taxonomy
Speciality
Code
Description
License number
State
103G00000X
Clinical Neuropsychologist
Primary
071-003338
IL
103T00000X
Psychologist
071-003338
IL
103TC0700X
Clinical Psychologist
071-003338
IL
103TC2200X
Clinical Child & Adolescent Psychologist
071-003338
IL
103TF0200X
Forensic Psychologist
071-003338
IL
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
01673053
BLUE CROSS BLUE SHIELD
IL
Enumeration date
09/28/2006
Last updated
10/12/2010
Update your record
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