Provider Demographics
NPI:1134509078
Name:RYMER, PAULA K (MSW, LICSW)
Entity Type:Individual
Prefix:
First Name:PAULA
Middle Name:K
Last Name:RYMER
Suffix:
Gender:F
Credentials:MSW, LICSW
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:305 N 5TH ST
Mailing Address - Street 2:
Mailing Address - City:IRONTON
Mailing Address - State:OH
Mailing Address - Zip Code:45638-1578
Mailing Address - Country:US
Mailing Address - Phone:740-532-3534
Mailing Address - Fax:740-532-4859
Practice Address - Street 1:1 JOHN MARSHALL DR.
Practice Address - Street 2:G01 GULLICKSON HALL
Practice Address - City:HUNTINGTON
Practice Address - State:WV
Practice Address - Zip Code:25755
Practice Address - Country:US
Practice Address - Phone:304-691-1643
Practice Address - Fax:
Is Sole Proprietor?:Yes
Enumeration Date:2015-06-05
Last Update Date:2018-11-29
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
OHS-1302915104100000X
WVDP009451921041C0700X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes1041C0700XBehavioral Health & Social Service ProvidersSocial WorkerClinical
No104100000XBehavioral Health & Social Service ProvidersSocial Worker