Data from the NPPES registry. May not reflect recent changes — verify at nppes.cms.hhs.gov.
PAUL JOHN THINESEN, MA LP BCBA
Active Sole ProprietorPAUL JOHN THINESEN, MA LP BCBA is a Psychologist healthcare provider located in LONG LAKE, Minnesota. NPI 1982774352 is currently active in the NPPES registry. Verify at CMS.
Psychologist · LONG LAKE, MN
Registration Details
- NPI Number
- 1982774352
- Provider Type
- Individual
- Gender
- Male
- NPI Issued
- Nov 9, 2006 (19.7511758199 yrs)
- Last Updated
- May 18, 2010
- License
-
0762 (MN)
- Sole Proprietor
- Yes
Practice Information
- Address
-
2565 MORNINGSIDE RDLONG LAKE, MN, 553569109Browse MN providers · Browse ZIP 55356
- Phone
- 6512630763
- Primary Specialty
-
Psychologist
103T00000X
Data sourced from the NPPES National Provider Identifier registry. This information is for informational purposes only and is not a substitute for verifying credentials with the appropriate licensing authority. For official verification, use the NPPES NPI Registry or the relevant state medical board.