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
Phone: (262) 789-7100
Fax:
Website:
Health care specialties
| Specialty | Code | License # | 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 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.
Identifiers
| State | Type | Number | Issuer |
|---|---|---|---|
| All States | NPI | 1871530162 | NPPES |
| Wisconsin | MEDICAID | 42188100 | |
| Wisconsin | Other | 000188102 |
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