Provider Demographics
NPI:1508264573
Name:WOJEWODA, PAULA (LMHC)
Entity Type:Individual
Prefix:
First Name:PAULA
Middle Name:
Last Name:WOJEWODA
Suffix:
Gender:F
Credentials:LMHC
Other - Prefix:
Other - First Name:PAULA
Other - Middle Name:
Other - Last Name:WOJEWODA-KO
Other - Suffix:
Other - Last Name Type:Other Name
Other - Credentials:
Mailing Address - Street 1:2626 W STATE ST
Mailing Address - Street 2:SUITE 212
Mailing Address - City:OLEAN
Mailing Address - State:NY
Mailing Address - Zip Code:14760-1858
Mailing Address - Country:US
Mailing Address - Phone:716-378-9060
Mailing Address - Fax:716-235-2611
Practice Address - Street 1:2626 W STATE ST
Practice Address - Street 2:SUITE 212
Practice Address - City:OLEAN
Practice Address - State:NY
Practice Address - Zip Code:14760-1858
Practice Address - Country:US
Practice Address - Phone:716-378-9060
Practice Address - Fax:716-235-2611
Is Sole Proprietor?:Yes
Enumeration Date:2014-12-08
Last Update Date:2014-12-08
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
NY000580101YM0800X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes101YM0800XBehavioral Health & Social Service ProvidersCounselorMental Health