Laura Jane Paulson | Los Angeles, CA • PECOS Search

Laura Jane Paulson

Marriage & Family Therapist

Behavioral Health & Social Service Providers

10833 Wilshire Blvd, Apt. 103, Los Angeles, CA 90024-4380

PECOS Enrollment

Based on the most recent information from CMS, provider Laura Jane Paulson does not have current enrollment records in PECOS.

Part B
Medicare Part B
Not Enrolled
HHA
Home Health Agency
Not Enrolled
DME
Durable Medical Equipment
Not Enrolled
PMD
Power Mobility Device
Not Enrolled

CMS last updated its PECOS records 2 days ago.

Profile Details

Provider ID
1598186025
Provider Type
Individual
Full Name
Paulson, Laura Jane
Title
Ms.
Credential
LMFT

Gender
Female
Sole Proprietor
Yes
Enumeration Date
12/31/2013
Last Updated
6/22/2015

Contact Information

Practice Location

10833 Wilshire Blvd, Apt. 103, Los Angeles, CA 90024-4380

Unlisted Fax

Mailing Location

301 W Washington Ave, Apt. 518, Sunnyvale, CA 94086-6583

Unlisted Fax

Provider Taxonomies

Code	Description	License
Code 106H00000X Primary	Description Marriage & Family Therapist Behavioral Health & Social Service Providers	License MFC52750 California