Provider Demographics
NPI:1558549816
Name:CASWELL, PAULETTE R (PHD)
Entity Type:Individual
Prefix:DR
First Name:PAULETTE
Middle Name:R
Last Name:CASWELL
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:PO BOX 480179
Mailing Address - Street 2:
Mailing Address - City:LOS ANGELES
Mailing Address - State:CA
Mailing Address - Zip Code:90048-1179
Mailing Address - Country:US
Mailing Address - Phone:323-683-8321
Mailing Address - Fax:651-400-5476
Practice Address - Street 1:645 N GARDNER ST
Practice Address - Street 2:
Practice Address - City:LOS ANGELES
Practice Address - State:CA
Practice Address - Zip Code:90036-5712
Practice Address - Country:US
Practice Address - Phone:323-683-8321
Practice Address - Fax:651-400-5476
Is Sole Proprietor?:Yes
Enumeration Date:2008-02-08
Last Update Date:2016-01-19
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes171M00000XOther Service ProvidersCase Manager/Care Coordinator
No1744R1102XOther Service ProvidersSpecialistResearch Study
No225500000XRespiratory, Developmental, Rehabilitative and Restorative Service ProvidersSpecialist/Technologist
No225C00000XRespiratory, Developmental, Rehabilitative and Restorative Service ProvidersRehabilitation Counselor
No174H00000XOther Service ProvidersHealth Educator
No174400000XOther Service ProvidersSpecialist
No235500000XSpeech, Language and Hearing Service ProvidersSpecialist/Technologist
No246Z00000XTechnologists, Technicians & Other Technical Service ProvidersSpecialist/Technologist, Other
No171R00000XOther Service ProvidersInterpreter
No374K00000XNursing Service Related ProvidersReligious Nonmedical Practitioner