Provider Demographics
NPI:1790435550
Name:GREENLAW, PAULA Y
Entity Type:Individual
Prefix:
First Name:PAULA
Middle Name:Y
Last Name:GREENLAW
Suffix:
Gender:F
Credentials:
Other - Prefix:MS
Other - First Name:PAULA
Other - Middle Name:Y
Other - Last Name:GREENLAW
Other - Suffix:
Other - Last Name Type:Former Name
Other - Credentials:REHAB SPECIALIST
Mailing Address - Street 1:3855 N 51ST BLVD
Mailing Address - Street 2:
Mailing Address - City:MILWAUKEE
Mailing Address - State:WI
Mailing Address - Zip Code:53216-2303
Mailing Address - Country:US
Mailing Address - Phone:414-810-3440
Mailing Address - Fax:
Practice Address - Street 1:3855 N 51ST BLVD
Practice Address - Street 2:
Practice Address - City:MILWAUKEE
Practice Address - State:WI
Practice Address - Zip Code:53216-2303
Practice Address - Country:US
Practice Address - Phone:414-810-3440
Practice Address - Fax:
Is Sole Proprietor?:No
Enumeration Date:2022-03-25
Last Update Date:2022-03-25
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes225C00000XRespiratory, Developmental, Rehabilitative and Restorative Service ProvidersRehabilitation Counselor
No171M00000XOther Service ProvidersCase Manager/Care Coordinator