Paul Marshall LLC

Primary specialty

Clinical NeuropsychologistTaxonomy code 103G00000X

License

LP1606 Issued in MN

Legal business name

PAUL MARSHALL LLC

Practice address

825 Nicollet Mall Ste 1440
Medical Arts BLDG
Minneapolis, MN 55402-2718

Phone

(612) 460-8502

Fax

(651) 730-6657

NPI assigned

Aug 21, 2012

Organization subpart

No

Registry information is reported by the provider to CMS and is not verified. About this source

Authorized official

Name

Aimee Petra

Title

Business Manager

Phone

(651) 738-8561

Specialties & licenses 1

Addresses

Locations

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1345507200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1345507200000",
    "number": "1962750026",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1811 WEIR DR STE 190",
            "city": "WOODBURY",
            "state": "MN",
            "postal_code": "551252292",
            "telephone_number": "651-738-8561",
            "fax_number": "651-730-6657"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "825 NICOLLET MALL STE 1440",
            "address_2": "MEDICAL ARTS BLDG",
            "city": "MINNEAPOLIS",
            "state": "MN",
            "postal_code": "554022718",
            "telephone_number": "612-460-8502",
            "fax_number": "651-730-6657"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "PAUL MARSHALL LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2012-08-21",
        "last_updated": "2012-08-21",
        "status": "A",
        "authorized_official_last_name": "PETRA",
        "authorized_official_first_name": "AIMEE",
        "authorized_official_title_or_position": "BUSINESS MANAGER",
        "authorized_official_telephone_number": "651-738-8561"
    },
    "taxonomies": [
        {
            "code": "103G00000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Clinical Neuropsychologist",
            "state": "MN",
            "license": "LP1606",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Sharon Patullo
• Jennifer Patyk, RN
• Pamela Paufler, M.D.
• Dana Helen Paugh, MA, CRNA
• Kristin Marie Paukert, CRNA
• Delia Paul, PA-C
• Jacquelyn Paul
• Koushik X Paul
• Louisa Paul, M.D
• Mary Paul, NP - C

• Clinical Neuropsychologist in Minneapolis, MN
• Providers in Minneapolis, MN by specialty
• Clinical Neuropsychologist in Minnesota

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 21, 2012; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.