Provider Demographics
NPI:1225503097
Name:ORTIZ, PAULA TORRES
Entity Type:Individual
Prefix:DR
First Name:PAULA
Middle Name:TORRES
Last Name:ORTIZ
Suffix:
Gender:F
Credentials:
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:689 LAFAYETTE RD.
Mailing Address - Street 2:BLDG. 4 APT. 1
Mailing Address - City:SEBROOK
Mailing Address - State:NH
Mailing Address - Zip Code:03874
Mailing Address - Country:US
Mailing Address - Phone:787-237-4507
Mailing Address - Fax:
Practice Address - Street 1:689 LAFAYETTE RD APT 4-1
Practice Address - Street 2:
Practice Address - City:SEABROOK
Practice Address - State:NH
Practice Address - Zip Code:03874-4246
Practice Address - Country:US
Practice Address - Phone:787-237-4507
Practice Address - Fax:
Is Sole Proprietor?:Yes
Enumeration Date:2018-10-09
Last Update Date:2018-10-09
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
MA729103K00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes103K00000XBehavioral Health & Social Service ProvidersBehavior Analyst