Pauly, Laura Lynn

Pauly, Laura Lynn is an individual health care provider with primary practice located at 12545 W Burleigh Rd Suite 1, Brookfield WI 53005-3101. She recently has only one registered license in Behavioral Health & Social Service Providers / Psychologist, which is considered as her primary health care specialty. Pauly, Laura Lynn can be contacted via phone (262) 789-7100.

Contact Information

Primary practice address
12545 W Burleigh Rd Suite 1 Brookfield WI 53005-3101
Fax:
Website:

Health care specialties

SpecialtyCodeLicense #State
Behavioral Health & Social Service Providers / Psychologist 103T00000X 1648-57 Wisconsin

Profile Details

NPI number 1871530162
LBN Legal business name Pauly, Laura Lynn
Credentials PHD
Entity Individual
Sole proprietor 1 No
Enumeration date Jun 2nd, 2006
Last updated Jan 2nd, 2014 - about 11 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 1871530162 NPPES
Wisconsin MEDICAID 42188100
Wisconsin Other 000188102

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