Provider Demographics
NPI:1598849861
Name:WARE, PAULA F (MC)
Entity Type:Individual
Prefix:MS
First Name:PAULA
Middle Name:F
Last Name:WARE
Suffix:
Gender:F
Credentials:MC
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:1255 W. BASELINE RD.
Mailing Address - Street 2:#186
Mailing Address - City:TEMPE
Mailing Address - State:AZ
Mailing Address - Zip Code:85202-5822
Mailing Address - Country:US
Mailing Address - Phone:480-831-7071
Mailing Address - Fax:480-831-9470
Practice Address - Street 1:1255 W. BASELINE RD.
Practice Address - Street 2:#186
Practice Address - City:TEMPE
Practice Address - State:AZ
Practice Address - Zip Code:85202-5822
Practice Address - Country:US
Practice Address - Phone:480-831-7071
Practice Address - Fax:480-831-9470
Is Sole Proprietor?:Yes
Enumeration Date:2006-10-24
Last Update Date:2011-09-14
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
AZLMFT-0081106H00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes106H00000XBehavioral Health & Social Service ProvidersMarriage & Family Therapist