Provider Demographics
NPI:1467588848
Name:AINSWORTH, PAULA (MED)
Entity Type:Individual
Prefix:MRS
First Name:PAULA
Middle Name:
Last Name:AINSWORTH
Suffix:
Gender:F
Credentials:MED
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:28 IVY MEADOWS LN
Mailing Address - Street 2:
Mailing Address - City:WESTPORT
Mailing Address - State:MA
Mailing Address - Zip Code:02790-4949
Mailing Address - Country:US
Mailing Address - Phone:508-636-3574
Mailing Address - Fax:
Practice Address - Street 1:99 SUMMER ST
Practice Address - Street 2:
Practice Address - City:BOSTON
Practice Address - State:MA
Practice Address - Zip Code:02110-1213
Practice Address - Country:US
Practice Address - Phone:617-587-1500
Practice Address - Fax:617-587-1577
Is Sole Proprietor?:No
Enumeration Date:2007-02-27
Last Update Date:2007-07-08
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes101YM0800XBehavioral Health & Social Service ProvidersCounselorMental Health