Provider Demographics
NPI:1710225842
Name:WAY, PAULA (LPT)
Entity Type:Individual
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First Name:PAULA
Middle Name:
Last Name:WAY
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Gender:F
Credentials:LPT
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Mailing Address - Street 1:401 W ORANGEWOOD AVE APT E108
Mailing Address - Street 2:
Mailing Address - City:ANAHEIM
Mailing Address - State:CA
Mailing Address - Zip Code:92802-5256
Mailing Address - Country:US
Mailing Address - Phone:310-525-8635
Mailing Address - Fax:310-525-8635
Practice Address - Street 1:3480 BUSKIRK AVE STE 300
Practice Address - Street 2:
Practice Address - City:PLEASANT HILL
Practice Address - State:CA
Practice Address - Zip Code:94523-4343
Practice Address - Country:US
Practice Address - Phone:925-825-4700
Practice Address - Fax:925-825-2610
Is Sole Proprietor?:Yes
Enumeration Date:2013-01-24
Last Update Date:2023-12-22
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Provider Licenses
StateLicense IDTaxonomies
CA36027167G00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes167G00000XNursing Service ProvidersLicensed Psychiatric Technician