| Dr Jacob Andrew Paulsen Phd Licensed Clinical Psychologist Inc | |
|
1399 9th Ave Apt 1517 San Diego CA 92101-4700 | |
| (619) 800-5499 | |
| Not Available |
| Full Name | Dr Jacob Andrew Paulsen Phd Licensed Clinical Psychologist Inc |
|---|---|
| Speciality | Clinic/center - Mental Health (including Community Mental Health Center) |
| Location | 1399 9th Ave Apt 1517, San Diego, California |
| Authorized Official Name and Position | Jacob Andrew Paulsen (CEO) |
| Authorized Official Contact | 6198005499 |
| Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
| Mailing Address | Practice Location Address |
|---|---|
| Dr Jacob Andrew Paulsen Phd Licensed Clinical Psychologist Inc Po Box 3573 San Diego CA 92163-1573 Ph: (619) 800-5499 | Dr Jacob Andrew Paulsen Phd Licensed Clinical Psychologist Inc 1399 9th Ave Apt 1517 San Diego CA 92101-4700 Ph: (619) 800-5499 |
| NPI Number | 1912723404 |
|---|---|
| Provider Enumeration Date | 11/29/2024 |
| Last Update Date | 11/29/2024 |
| Certification Date | 11/29/2024 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1912723404 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 261QM0801X | Clinic/center - Mental Health (including Community Mental Health Center) | (* (Not Available)) | Primary |
Aefct Mental Health Clinic Medicare: Not Enrolled in Medicare Practice Location: 4669 Murphy Canyon Rd Ste 212, San Diego, CA 92123 Phone: 858-569-0056 Fax: 858-569-4233 | |
R D Dipp Do Mental Health Clinic Medicare: Medicare Enrolled Practice Location: 1350 Columbia St, Unit 800, San Diego, CA 92101 Phone: 619-255-1649 Fax: 619-255-1649 | |
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