Provider Demographics
NPI:1053929216
Name:PAUL, SEAN (PSYD)
Entity type:Individual
Prefix:
First Name:SEAN
Middle Name:
Last Name:PAUL
Suffix:
Gender:
Credentials:PSYD
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:24 PLANTINGFIELD RD
Mailing Address - Street 2:
Mailing Address - City:MANSFIELD
Mailing Address - State:MA
Mailing Address - Zip Code:02048-2040
Mailing Address - Country:US
Mailing Address - Phone:617-620-4094
Mailing Address - Fax:
Practice Address - Street 1:24 PLANTINGFIELD RD
Practice Address - Street 2:
Practice Address - City:MANSFIELD
Practice Address - State:MA
Practice Address - Zip Code:02048-2040
Practice Address - Country:US
Practice Address - Phone:617-620-4094
Practice Address - Fax:
Is Sole Proprietor?:Yes
Enumeration Date:2020-07-14
Last Update Date:2025-04-05
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
MAPSY10001182103T00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes103T00000XBehavioral Health & Social Service ProvidersPsychologist