Jansen, Paul Edward

Jansen, Paul Edward is an sole proprietor health care provider with primary practice located at 11 Vanderbilt Ave Suite 240, Norwood MA 02062-5056. He recently has 4 registered licenses in different health care specialties including Behavioral Health & Social Service Providers / Cognitive & Behavioral, Behavioral Health & Social Service Providers / Clinical, Behavioral Health & Social Service Providers / Family, Behavioral Health & Social Service Providers / Mental Retardation & Developmental Disabilities. Behavioral Health & Social Service Providers / Clinical is his primary health care specialty. Jansen, Paul Edward can be contacted via phone (781) 769-5050.

Contact Information

Primary practice address
11 Vanderbilt Ave Suite 240 Norwood MA 02062-5056
Phone: (781) 769-5050
Fax: (781) 784-2927
Website:
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Health care specialties

SpecialtyCodeLicense #State
Behavioral Health & Social Service Providers / Cognitive & Behavioral 103TB0200X 864 Massachusetts
Behavioral Health & Social Service Providers / Clinical 103TC0700X 864 Massachusetts
Behavioral Health & Social Service Providers / Family 103TF0000X 864 Massachusetts
Behavioral Health & Social Service Providers / Mental Retardation & Developmental Disabilities 103TM1800X 864 Massachusetts

Profile Details

NPI number 1215097548
LBN Legal business name Jansen, Paul Edward
Credentials PH.D.
Entity Individual
Sole proprietor 1 Yes
Enumeration date Dec 8th, 2006
Last updated May 2nd, 2012 - about 12 years ago

1 A sole proprietor/sole proprietorship is an individual, and in that capacity, is qualified for a solitary NPI number. The sole proprietor have to apply for the NPI number using his or her own particular Social Security Number (SSN), instead of Employer Identification Number (EIN) regardless of whether he/she has an EIN.

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Identifiers

StateTypeNumberIssuer
All States NPI 1215097548 NPPES
Massachusetts MEDICAID 0503576

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