Provider Demographics
NPI:1033237672
Name:CYR, PAULA B (LCSW & CADC)
Entity Type:Individual
Prefix:
First Name:PAULA
Middle Name:B
Last Name:CYR
Suffix:
Gender:F
Credentials:LCSW & CADC
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:2 HIGH ST
Mailing Address - Street 2:
Mailing Address - City:HOULTON
Mailing Address - State:ME
Mailing Address - Zip Code:04730-2013
Mailing Address - Country:US
Mailing Address - Phone:207-532-1058
Mailing Address - Fax:207-532-5507
Practice Address - Street 1:2 HIGH ST
Practice Address - Street 2:
Practice Address - City:HOULTON
Practice Address - State:ME
Practice Address - Zip Code:04730-2013
Practice Address - Country:US
Practice Address - Phone:207-532-1058
Practice Address - Fax:207-532-5507
Is Sole Proprietor?:No
Enumeration Date:2007-03-26
Last Update Date:2013-03-13
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
MECAC3499101YA0400X
MELC131161041C0700X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes1041C0700XBehavioral Health & Social Service ProvidersSocial WorkerClinical
No101YA0400XBehavioral Health & Social Service ProvidersCounselorAddiction (Substance Use Disorder)