Provider Demographics
NPI:1619003068
Name:MORRISSETTE, PAULA MARIA (PSYD)
Entity Type:Individual
Prefix:DR
First Name:PAULA
Middle Name:MARIA
Last Name:MORRISSETTE
Suffix:
Gender:F
Credentials:PSYD
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:107 LINCOLN ST
Mailing Address - Street 2:
Mailing Address - City:WORCESTER
Mailing Address - State:MA
Mailing Address - Zip Code:01605-2401
Mailing Address - Country:US
Mailing Address - Phone:508-799-9000
Mailing Address - Fax:508-756-0548
Practice Address - Street 1:107 LINCOLN ST
Practice Address - Street 2:ADCARE OUTPATIENT SERVICES
Practice Address - City:WORCESTER
Practice Address - State:MA
Practice Address - Zip Code:01605-2401
Practice Address - Country:US
Practice Address - Phone:508-799-9000
Practice Address - Fax:508-756-0548
Is Sole Proprietor?:No
Enumeration Date:2007-02-27
Last Update Date:2007-07-08
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
MA1562103TA0400X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes103TA0400XBehavioral Health & Social Service ProvidersPsychologistAddiction (Substance Use Disorder)