Provider Demographics
NPI:1811551302
Name:GILROY, PAULA JEAN (EDD)
Entity Type:Individual
Prefix:
First Name:PAULA
Middle Name:JEAN
Last Name:GILROY
Suffix:
Gender:F
Credentials:EDD
Other - Prefix:
Other - First Name:PAULA
Other - Middle Name:JEAN
Other - Last Name:GILROY JACOBSEN
Other - Suffix:
Other - Last Name Type:Former Name
Other - Credentials:
Mailing Address - Street 1:1227 W 27TH ST STUDENT HEALTH CENTER 103
Mailing Address - Street 2:
Mailing Address - City:CEDAR FALLS
Mailing Address - State:IA
Mailing Address - Zip Code:50614-0385
Mailing Address - Country:US
Mailing Address - Phone:319-273-2676
Mailing Address - Fax:319-273-6884
Practice Address - Street 1:1227 W 27TH ST STUDENT HEALTH CENTER 103
Practice Address - Street 2:
Practice Address - City:CEDAR FALLS
Practice Address - State:IA
Practice Address - Zip Code:50614-0385
Practice Address - Country:US
Practice Address - Phone:319-273-2676
Practice Address - Fax:319-273-6884
Is Sole Proprietor?:No
Enumeration Date:2019-04-30
Last Update Date:2019-04-30
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
IA608103T00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes103T00000XBehavioral Health & Social Service ProvidersPsychologist