Provider Demographics
NPI:1225693336
Name:JOAQUIN, PAULA J
Entity Type:Individual
Prefix:
First Name:PAULA
Middle Name:J
Last Name:JOAQUIN
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 1:95 PLEASANT ST
Mailing Address - Street 2:N/A
Mailing Address - City:PLAINVILLE
Mailing Address - State:MA
Mailing Address - Zip Code:02762-1900
Mailing Address - Country:US
Mailing Address - Phone:508-212-3603
Mailing Address - Fax:508-695-0345
Practice Address - Street 1:140 PARK ST STE 3
Practice Address - Street 2:
Practice Address - City:ATTLEBORO
Practice Address - State:MA
Practice Address - Zip Code:02703-8048
Practice Address - Country:US
Practice Address - Phone:508-212-3603
Practice Address - Fax:508-695-0345
Is Sole Proprietor?:Yes
Enumeration Date:2019-05-03
Last Update Date:2019-05-03
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes101YM0800XBehavioral Health & Social Service ProvidersCounselorMental Health