Provider Demographics
NPI:1467566067
Name:PAULS, DEBORAH G (LCSW)
Entity Type:Individual
Prefix:MS
First Name:DEBORAH
Middle Name:G
Last Name:PAULS
Suffix:
Gender:F
Credentials:LCSW
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:1266 HIGH RIDGE RD
Mailing Address - Street 2:
Mailing Address - City:STAMFORD
Mailing Address - State:CT
Mailing Address - Zip Code:06903-4905
Mailing Address - Country:US
Mailing Address - Phone:203-358-3205
Mailing Address - Fax:203-461-9641
Practice Address - Street 1:1266 HIGH RIDGE RD
Practice Address - Street 2:
Practice Address - City:STAMFORD
Practice Address - State:CT
Practice Address - Zip Code:06903-4905
Practice Address - Country:US
Practice Address - Phone:203-358-3205
Practice Address - Fax:203-461-9641
Is Sole Proprietor?:Yes
Enumeration Date:2006-08-19
Last Update Date:2007-07-08
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
CT0040111041C0700X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes1041C0700XBehavioral Health & Social Service ProvidersSocial WorkerClinical