Individual
MR. ANDREW W PAULSON
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
PH.D
Contact information
Practice address
3501 ALDRICH AVE S, MINNEAPOLIS, MN 55408-4149
(651) 300-9273
(651) 447-7110
Mailing address
PO BOX 10657, SAINT PAUL, MN 55110-0657
(651) 300-9273
(651) 447-7110
Taxonomy
Speciality
Code
Description
License number
State
103T00000X
Psychologist
1852-057
WI
103T00000X
Psychologist
Primary
LP5007
MN
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
39649900
—
WI
Enumeration date
11/12/2007
Last updated
11/11/2021
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