Provider Demographics
NPI:1497434864
Name:BEDDOW, PAULINA SINAE (LMFT)
Entity Type:Individual
Prefix:MRS
First Name:PAULINA
Middle Name:SINAE
Last Name:BEDDOW
Suffix:
Gender:F
Credentials:LMFT
Other - Prefix:
Other - First Name:PAULINA
Other - Middle Name:SINAE
Other - Last Name:HWANG
Other - Suffix:
Other - Last Name Type:Former Name
Other - Credentials:
Mailing Address - Street 1:228 MARBLE CT.
Mailing Address - Street 2:
Mailing Address - City:HARTFORD
Mailing Address - State:KY
Mailing Address - Zip Code:42347-1805
Mailing Address - Country:US
Mailing Address - Phone:502-398-0171
Mailing Address - Fax:
Practice Address - Street 1:3032 ALVEY PARK DR W STE 400
Practice Address - Street 2:
Practice Address - City:OWENSBORO
Practice Address - State:KY
Practice Address - Zip Code:42303-2191
Practice Address - Country:US
Practice Address - Phone:606-393-6695
Practice Address - Fax:
Is Sole Proprietor?:No
Enumeration Date:2023-07-13
Last Update Date:2024-03-20
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
KY288987106H00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes106H00000XBehavioral Health & Social Service ProvidersMarriage & Family Therapist