Provider Demographics
NPI:1487681086
Name:PAULAUSKAS, STANA L (PHD)
Entity Type:Individual
Prefix:DR
First Name:STANA
Middle Name:L
Last Name:PAULAUSKAS
Suffix:
Gender:F
Credentials:PHD
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:7870 OLENTANGY RIVER RD
Mailing Address - Street 2:SUITE 310
Mailing Address - City:COLUMBUS
Mailing Address - State:OH
Mailing Address - Zip Code:43235-1319
Mailing Address - Country:US
Mailing Address - Phone:614-436-6635
Mailing Address - Fax:614-436-6627
Practice Address - Street 1:7870 OLENTANGY RIVER RD
Practice Address - Street 2:SUITE 310
Practice Address - City:COLUMBUS
Practice Address - State:OH
Practice Address - Zip Code:43235-1319
Practice Address - Country:US
Practice Address - Phone:614-436-6635
Practice Address - Fax:614-436-6637
Is Sole Proprietor?:No
Enumeration Date:2006-06-27
Last Update Date:2011-10-14
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
OH3772103TC0700X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes103TC0700XBehavioral Health & Social Service ProvidersPsychologistClinical