Provider Demographics
NPI:1275652281
Name:CALHOUN, PAULA FISHER (AUD)
Entity Type:Individual
Prefix:
First Name:PAULA
Middle Name:FISHER
Last Name:CALHOUN
Suffix:
Gender:F
Credentials:AUD
Other - Prefix:
Other - First Name:PAULA
Other - Middle Name:MICHELLE
Other - Last Name:FISHER
Other - Suffix:
Other - Last Name Type:Former Name
Other - Credentials:AUD
Mailing Address - Street 1:263 FARMINGTON AVE
Mailing Address - Street 2:
Mailing Address - City:FARMINGTON
Mailing Address - State:CT
Mailing Address - Zip Code:06030-8082
Mailing Address - Country:US
Mailing Address - Phone:860-679-2804
Mailing Address - Fax:860-679-1179
Practice Address - Street 1:31 BROADWAY
Practice Address - Street 2:
Practice Address - City:NORTH HAVEN
Practice Address - State:CT
Practice Address - Zip Code:06473-2363
Practice Address - Country:US
Practice Address - Phone:203-234-1324
Practice Address - Fax:203-234-1611
Is Sole Proprietor?:No
Enumeration Date:2007-03-29
Last Update Date:2022-11-18
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
CT000465231H00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes231H00000XSpeech, Language and Hearing Service ProvidersAudiologist