Provider Demographics
NPI:1225387913
Name:AUSTIN, PAULETTE (BA SOCIAL WORK)
Entity Type:Individual
Prefix:MRS
First Name:PAULETTE
Middle Name:
Last Name:AUSTIN
Suffix:
Gender:F
Credentials:BA SOCIAL WORK
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:3 ELMHURST DR
Mailing Address - Street 2:
Mailing Address - City:LITTLE ROCK
Mailing Address - State:AR
Mailing Address - Zip Code:72209-1643
Mailing Address - Country:US
Mailing Address - Phone:501-349-6260
Mailing Address - Fax:
Practice Address - Street 1:3 ELMHURST DR
Practice Address - Street 2:
Practice Address - City:LITTLE ROCK
Practice Address - State:AR
Practice Address - Zip Code:72209-1643
Practice Address - Country:US
Practice Address - Phone:501-349-6260
Practice Address - Fax:
Is Sole Proprietor?:No
Enumeration Date:2012-09-10
Last Update Date:2012-09-10
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes101Y00000XBehavioral Health & Social Service ProvidersCounselor
No104100000XBehavioral Health & Social Service ProvidersSocial Worker