Provider Demographics
NPI:1437500204
Name:HANCE, PAULA BRITTANY
Entity Type:Individual
Prefix:MS
First Name:PAULA
Middle Name:BRITTANY
Last Name:HANCE
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 1:6956 STATE HIGHWAY 56
Mailing Address - Street 2:
Mailing Address - City:POTSDAM
Mailing Address - State:NY
Mailing Address - Zip Code:13676-3628
Mailing Address - Country:US
Mailing Address - Phone:315-268-0264
Mailing Address - Fax:315-268-0200
Practice Address - Street 1:6956 STATE HIGHWAY 56
Practice Address - Street 2:
Practice Address - City:POTSDAM
Practice Address - State:NY
Practice Address - Zip Code:13676-3628
Practice Address - Country:US
Practice Address - Phone:315-268-0264
Practice Address - Fax:315-268-0200
Is Sole Proprietor?:No
Enumeration Date:2016-06-23
Last Update Date:2016-06-23
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes101YM0800XBehavioral Health & Social Service ProvidersCounselorMental Health