Individual
MICHAEL DANA PAULSON
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
PHD
Contact information
Practice address
891 BELSLY BLVD, MOORHEAD, MN 56560-5055
(218) 287-4338
(218) 287-5928
Mailing address
891 BELSLY BLVD, MOORHEAD, MN 56560-5055
(218) 287-4338
(218) 287-5928
Taxonomy
Speciality
Code
Description
License number
State
103TC0700X
Clinical Psychologist
39
ND
103TC0700X
Clinical Psychologist
Primary
LP0989
MN
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
10716
—
ND
01
—
16069
BCND
ND
01
—
67D82PA
BCMN
MN
Enumeration date
08/09/2006
Last updated
06/17/2008
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