Provider Demographics
NPI:1679389670
Name:SAULSBURY, PAUL WILLIAM (MFT TRAINEE)
Entity type:Individual
Prefix:
First Name:PAUL
Middle Name:WILLIAM
Last Name:SAULSBURY
Suffix:
Gender:M
Credentials:MFT TRAINEE
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:2400 WASHINGTON AVE STE 400
Mailing Address - Street 2:
Mailing Address - City:REDDING
Mailing Address - State:CA
Mailing Address - Zip Code:96001-2827
Mailing Address - Country:US
Mailing Address - Phone:530-941-9003
Mailing Address - Fax:
Practice Address - Street 1:2400 WASHINGTON AVE STE 400
Practice Address - Street 2:
Practice Address - City:REDDING
Practice Address - State:CA
Practice Address - Zip Code:96001-2827
Practice Address - Country:US
Practice Address - Phone:530-941-9003
Practice Address - Fax:
Is Sole Proprietor?:Yes
Enumeration Date:2024-12-05
Last Update Date:2024-12-05
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes106H00000XBehavioral Health & Social Service ProvidersMarriage & Family Therapist