MEDICARE: MARGARET A. PAULSON LPC,LMFT,CP

Medicare Provider Information

Scope of Practice

The following information about the specialty of the provider is available:

#	Taxonomy Code	Taxonomy	License Number	License Number State
1	101YP2500X	Professional Counselor	0701001600	VA

Other Identifiers

#	Provider Identifier	Provider Identifier Type	Provider Identifier State	Provider Identifier Issuer
1	174731	OTHER	VA	A NTHEM
2	088071	OTHER	VA	OPTIMA

General Provider Information

NPI Number	:	1265516041
Entity Type Code	:	Individual
Provider Name (Legal Business Name)	:	MARGARET A. PAULSON LPC,LMFT,CP

Provider Business Mailing Address
First Line	:	1305 WHISPER DR
Second Line	:
City	:	VIRGINIA BEACH
State	:	VA
Zip	:	23454-2037
Country	:	US
Telephone Number	:	757-481-2524
Fax Number	:

Provider Business Practice Location Address
First Line	:	3143 MAGIC HOLLOW BLVD
Second Line	:
City	:	VIRGINIA BEACH
State	:	VA
Zip	:	23453-3077
Country	:	US
Telephone Number	:	757-385-1432
Fax Number	:

Authorized Official
Title or Position	:
Name	:
Credential	:
Telephone Number	:

Provider Enumeration Date	:	10/25/2006
Last Update Date	:	07/08/2007

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