| Doctor Name: | PAULA BRUST |
| NPI Number: | 1013007830 |
| Entity Type Code: | Individual (1) |
| Gender: | F |
| Credentials: | MA, LPC, NCC |
| License Number: | 000482 |
| Business Practice Address: | 2200 Ash St Scranton, PA - 185101505 |
| Business Phone Number: | 5709692510 |
| Business Fax Number: | 5703830663 |
| Mailing Address: | 2200 Ash St, SCRANTON |
| State: | PA |
| Postal Code: | 185101505 |
| Phone Number: | 5709692510 |
| Fax Number: | 5703830663 |
| NPI Enumeration Date: | 10/13/2006 |
| NPI Last Update Date: | 06/04/2009 |
| Replacement NPI: | 0 |
| NPI Deactivation Date: | |
| NPI Reactivation Date: |
Taxonomy Information: | |
| Healthcare Provider Taxonomy: | 101YP2500X |
| License Number: | 000482 |
| Healthcare Provider Taxonomy: (Secondary) | Y |
| State: | PA |
| Taxonomy Type: | Behavioral Health & Social Service Providers |
| Taxonomy Classification: | Counselor |
| Taxonomy Specialization: | Professional |
| Taxonomy Definition: | |