Individual
JANE S PAULSEN
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
PHD
Contact information
Practice address
600 HIGHLAND AVE, MADISON, WI 53792-1009
(608) 263-5430
(082) 650-1726
Mailing address
7974 UW HEALTH CT, MIDDLETON, WI 53562-5531
Taxonomy
Speciality
Code
Description
License number
State
103G00000X
Clinical Neuropsychologist
Primary
3953-57
WI
103T00000X
Psychologist
00376
IA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
48545
WELLMARK BCBS
IA
Enumeration date
09/19/2005
Last updated
05/19/2021
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