Doctor Name: | DR. HERDLEY O PAOLINI |
NPI Number: | 1144360496 |
Entity Type Code: | Individual (1) |
Gender: | F |
Credentials: | PHD |
License Number: | PY6978 |
Business Practice Address: | 615 E Princeton St Suite 410 Orlando, FL - 328031456 |
Business Phone Number: | 4073039674 |
Business Fax Number: | |
Mailing Address: | 911 Crest Ct, APOPKA |
State: | FL |
Postal Code: | 327128108 |
Phone Number: | 4074617664 |
Fax Number: | |
NPI Enumeration Date: | 02/07/2007 |
NPI Last Update Date: | 07/08/2007 |
Replacement NPI: | 0 |
NPI Deactivation Date: | |
NPI Reactivation Date: |
Taxonomy Information: | |
Healthcare Provider Taxonomy: | 103TC0700X |
License Number: | PY6978 |
Healthcare Provider Taxonomy: (Secondary) | Y |
State: | FL |
Taxonomy Type: | Behavioral Health & Social Service Providers |
Taxonomy Classification: | Psychologist |
Taxonomy Specialization: | Clinical |
Taxonomy Definition: |