Provider Demographics
NPI:1144394479
Name:BRULAND, PAULA R (LCSW)
Entity Type:Individual
Prefix:MRS
First Name:PAULA
Middle Name:R
Last Name:BRULAND
Suffix:
Gender:F
Credentials:LCSW
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:15918 MARINDA CIR
Mailing Address - Street 2:
Mailing Address - City:OMAHA
Mailing Address - State:NE
Mailing Address - Zip Code:68130-1763
Mailing Address - Country:US
Mailing Address - Phone:402-342-4411
Mailing Address - Fax:402-345-1789
Practice Address - Street 1:819 DORCAS ST
Practice Address - Street 2:
Practice Address - City:OMAHA
Practice Address - State:NE
Practice Address - Zip Code:68108-1137
Practice Address - Country:US
Practice Address - Phone:402-342-4441
Practice Address - Fax:402-345-1789
Is Sole Proprietor?:No
Enumeration Date:2006-11-20
Last Update Date:2007-07-08
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
NE1589101YM0800X
NE8221041C0700X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Not Answered101YM0800XBehavioral Health & Social Service ProvidersCounselorMental Health
Not Answered1041C0700XBehavioral Health & Social Service ProvidersSocial WorkerClinical
Provider Identifiers
StateIdentifier IDID TypeIssuer
NE1589OtherLMHP
NE822OtherCMSW