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Daniel Lee Paulson, PhD

Psychologist, Clinical in Casselberry, FL. Individual provider (NPI-1).

NPI number1659883239
StatusActive
Last updated in NPPESFeb 25, 2021

Details

NPI
1659883239
Entity type
Individual (NPI-1)
Name
Daniel Lee Paulson
Credential
PhD
Sex
Male
Sole proprietor
No
Enumeration date
Nov 3, 2017
Certification date
Feb 25, 2021
Last updated
Feb 25, 2021

Medicare and OIG

Medicare enrolled (PECOS)
Yes · PRACTITIONER - CLINICAL PSYCHOLOGIST
Can order and refer
Part B Yes · DME Yes · Home health No · Power mobility No · Hospice No
OIG exclusion list
This NPI is not listed

CMS and OIG files of November 2026. PECOS lookup · OIG exclusion check

Taxonomy and licenses

Taxonomy codeDescriptionLicenseStatePrimary
103TC0700X Psychologist, ClinicalPY9598FLYes

Practice location

1254 Grantham Ct
Casselberry, FL 32707-5807

Phone 540-746-3806

Mailing address

341 N Maitland Ave
Ste 120
Maitland, FL 32751-4761

Phone 407-756-2084 · Fax 866-495-9224

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This page shows exactly what the provider filed with NPPES. Only the provider (or their surrogate) can change it, by signing in to NPPES. Our page updates within a day of their change. See how to update NPI information.

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