Provider Demographics
NPI:1578613550
Name:NEAL, PAULITA H (PHD)
Entity Type:Individual
Prefix:DR
First Name:PAULITA
Middle Name:H
Last Name:NEAL
Suffix:
Gender:F
Credentials:PHD
Other - Prefix:
Other - First Name:
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Other - Credentials:
Mailing Address - Street 1:2936 BAYSHORE AV
Mailing Address - Street 2:
Mailing Address - City:VENTURA
Mailing Address - State:CA
Mailing Address - Zip Code:93001-4126
Mailing Address - Country:US
Mailing Address - Phone:805-650-7736
Mailing Address - Fax:805-650-7736
Practice Address - Street 1:200 S WELLS RD
Practice Address - Street 2:SUITE 200 CLINICAS DEL CAMINO REAL INC
Practice Address - City:VENTURA
Practice Address - State:CA
Practice Address - Zip Code:93004
Practice Address - Country:US
Practice Address - Phone:805-659-1740
Practice Address - Fax:805-659-9959
Is Sole Proprietor?:No
Enumeration Date:2007-01-11
Last Update Date:2007-07-08
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
CAPSY12115103T00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes103T00000XBehavioral Health & Social Service ProvidersPsychologist
Provider Identifiers
StateIdentifier IDID TypeIssuer
W3731Medicare ID - Type Unspecified