Paul Edward Jansen
Family Psychologist Clinical Psychologist Cognitive & Behavioral Psychologist Intellectual & Developmental Disabilities
11 Vanderbilt Ave Suite 240
Norwood
, Massachusetts 02062-5056
Paul Edward Jansen
Family Psychologist Clinical Psychologist Cognitive & Behavioral Psychologist Intellectual & Developmental Disabilities
11 Vanderbilt Ave Suite 240
Norwood
, Massachusetts 02062-5056
(781) 784-2927
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About
Features
Specialties
- Cognitive & Behavioral Psychologist
- Clinical Psychologist
- Family Psychologist
- Intellectual & Developmental Disabilities
Languages spoken
- English
Location
First Address
- Paul Edward Jansen
- 95 Moose Hill Pkwy
- Sharon, MA
- Zip : 02067-1730
- Fax : (781) 784-2927
- Phone : (781) 784-1796
Second Address
- Paul Edward Jansen
- 11 Vanderbilt Ave Suite 240
- Norwood, MA
- Zip : 02062-5056
- Fax : (781) 784-2927
- Phone : (781) 769-5050
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Scope of Practice
| Primary | Taxonomy Code | Taxonomy Specialty | License Number | License State |
|---|---|---|---|---|
| N | 103TB0200X | Cognitive & Behavioral Psychologist | 864 | MA |
| Y | 103G00000X | Clinical Psychologist | 864 | MA |
| Y | 103TC0700X | Clinical Psychologist | 864 | MA |
| N | 103TF0000X | Family Psychologist | 864 | MA |
| N | 103TM1800X | Intellectual & Developmental Disabilities | 864 | MA |
National Provider Identifier
| NPI | 1215097548 |
|---|---|
| Provider Name | Paul Edward Jansen |
| First Address | Sharon, MA 02067-1730 |
| Second Address | Norwood, MA 02062-5056 |
| Gender | M |
| NPI Entity type | Individual |
| Is Sole Proprietor | Yes |
| Is Organization Subpart | N/A |
| Enumeration Date | 08/12/2006 |
| Last Update Date | 02/05/2012 |
Additional Identifiers
| IDENTIFIER | TYPE / CODE | IDENTIFIER STATE |
|---|---|---|
| 0503576 | (05) | MA |
NPI Footnotes
What is the National Provider Identifier (NPI)
Provider Location Address
Provider Mailing Address
Entity Type Code
1= Person: individual human being who furnishes health care;
2= Non-person: entity other than an individual human being that furnishes health care (Examples: hospital, SNF, hospital subunit, pharmacy, or HMO)
What is a Subpart?
Provider Other Organization Name
1 = former name;
2 = professional name;
3 = doinq business as (d/b/ a) name;
4 = former legal business name;
5 = other.