Individual
MICHAEL DANA PAULSON
Active
Individual
MICHAEL DANA PAULSON
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
PHD
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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