Michael Dana Paulson, PHD | |
891 Belsly Blvd, Moorhead, MN 56560-5055 | |
(218) 287-4338 | |
(218) 287-5928 |
Full Name | Michael Dana Paulson |
---|---|
Gender | Male |
Speciality | Psychologist - Clinical |
Location | 891 Belsly Blvd, Moorhead, Minnesota |
Accepts Medicare Assignments | Medicare enrolled and may accept medicare through third-party reassignment. May prescribe medicare part D drugs. |
Identifier | Type | State | Issuer |
---|---|---|---|
1831109818 | NPI | - | NPPES |
16069 | Other | ND | BCND |
67D82PA | Other | MN | BCMN |
10716 | Medicaid | ND |
Taxonomy | Type | License (State) | Status |
---|---|---|---|
103TC0700X | Psychologist - Clinical | 39 (North Dakota) | Secondary |
103TC0700X | Psychologist - Clinical | LP0989 (Minnesota) | Primary |
Entity Name | Family Institute Pc |
---|---|
Entity Type | Part B Supplier - Clinic/group Practice |
Entity Identifiers | NPI Number: 1003832783 PECOS PAC ID: 8527054949 Enrollment ID: O20040423000552 |
Mailing Address | Practice Location Address |
---|---|
Michael Dana Paulson, PHD 891 Belsly Blvd, Moorhead, MN 56560-5055 Ph: (218) 287-4338 | Michael Dana Paulson, PHD 891 Belsly Blvd, Moorhead, MN 56560-5055 Ph: (218) 287-4338 |
Jan Karen Witte-bakken, PHD Psychologist Medicare: Not Enrolled in Medicare Practice Location: 891 Belsly Blvd, Moorhead, MN 56560 Phone: 218-287-4338 Fax: 218-287-5928 | |
Mr. Robert A Hinman, MED Psychologist Medicare: Accepting Medicare Assignments Practice Location: 891 Belsly Blvd, Moorhead, MN 56560 Phone: 218-287-4338 Fax: 218-287-5928 | |
Dr. Carol Collette Follingstad, PSY.D. LP Psychologist Medicare: Accepting Medicare Assignments Practice Location: 1132 28th Ave S, Suite 102, Moorhead, MN 56560 Phone: 218-731-2320 Fax: 218-867-3712 | |
Sara L Jensen Fritz, MS LP Psychologist Medicare: Not Enrolled in Medicare Practice Location: 891 Belsly Blvd, Moorhead, MN 56560 Phone: 218-287-4338 Fax: 218-287-5928 | |
Alisson Lass, Psychologist Medicare: Not Enrolled in Medicare Practice Location: 4000 28th Ave S, Moorhead, MN 56560 Phone: 701-234-3200 | |
Brianna J Crawford, PHD Psychologist Medicare: Accepting Medicare Assignments Practice Location: 1301 8th St S, Moorhead, MN 56560 Phone: 701-234-3100 | |
Krislea Erin Wegner, PHD Psychologist Medicare: Medicare Enrolled Practice Location: 1606 C 30th Ave S, Moorhead, MN 56560 Phone: 218-287-4338 Fax: 218-287-5928 |