Doctor Name: | MS. PAULA GREENTHAL |
NPI Number: | 1043388697 |
Entity Type Code: | Individual (1) |
Gender: | F |
Credentials: | |
License Number: | CP00002466 |
Business Practice Address: | 6128 Capitol Blvd Se Tumwater, WA - 985015271 |
Business Phone Number: | 3607545729 |
Business Fax Number: | 3609432659 |
Mailing Address: | 6128 Capitol Blvd Se, TUMWATER |
State: | WA |
Postal Code: | 985015271 |
Phone Number: | 3607545729 |
Fax Number: | 3609432659 |
NPI Enumeration Date: | 12/01/2006 |
NPI Last Update Date: | 07/08/2007 |
Replacement NPI: | 0 |
NPI Deactivation Date: | |
NPI Reactivation Date: |
Taxonomy Information: | |
Healthcare Provider Taxonomy: | 101YA0400X |
License Number: | CP00002466 |
Healthcare Provider Taxonomy: (Secondary) | Y |
State: | WA |
Taxonomy Type: | Behavioral Health & Social Service Providers |
Taxonomy Classification: | Counselor |
Taxonomy Specialization: | Addiction (Substance Use Disorder) |
Taxonomy Definition: |