Individual
PAUL W THORESEN
Active
Sole proprietor
Provider details
NPI number
Gender
Man
Credential
PHD
Contact information
Practice address
621 SCIENCE DR, MADISON, WI 53711
(608) 265-8348
(608) 833-6932
Mailing address
8007 EXCELSIOR DR, MADISON, WI 53717
(608) 829-5201
(608) 833-6932
Taxonomy
Speciality
Code
Description
License number
State
103T00000X
Psychologist
Primary
162
WI
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
39027800
—
WI
Enumeration date
04/18/2006
Last updated
07/08/2007
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